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NPI Code Detail

MEDICARE: RESTORATION

MEDICARE: RESTORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyDE

General Provider Information

NPI Number : 1164767299
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORATION
Provider Business Mailing Address
First Line : 10 JOHN ANDREWS DR
Second Line :
City : HARRINGTON
State : DE
Zip : 19952-9725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17021 OLD ORCHARD RD
Second Line :
City : LEWES
State : DE
Zip : 19958-4832
Country : US
Telephone Number : 302-354-0457
Fax Number :
Authorized Official
Title or Position : LCSW
Name : MELISSA FORBES
Credential :
Telephone Number : 302-354-0457
Provider Enumeration Date : 11/29/2012
Last Update Date : 11/29/2012

Similar Medicare Providers

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Practice Location Address:
17021 OLD ORCHARD RD UNIT 4
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19958-4832
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1205923737 — DR. ANDREW RICHARD COLLINS DPM
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1376933101 — NICOLE LUTHER MA, ATR-BC, LPAT
Practice Location Address:
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Practice Fax:
1437505609 — NATALIE ENGH LPCMH
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Directions to “RESTORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.