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NPI Code Detail

MEDICARE: AQUILA OF DELAWARE, INC.

MEDICARE: AQUILA OF DELAWARE, INC.
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center1991830288DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1174428OTHERDECOMPSYCH
2159139OTHERDEBLUE CROSS BLUE SHIELD DE
3A066181OTHERDEVALUE OPTIONS
40602528OTHERDEAETNA
537761OTHERDECIGNA

General Provider Information

NPI Number : 1851440697
Entity Type Code : Organization
Provider Name (Legal Business Name) : AQUILA OF DELAWARE, INC.
Provider Business Mailing Address
First Line : 6 N RAILROAD AVE
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-1242
Country : US
Telephone Number : 302-856-9746
Fax Number : 302-856-9766
Provider Business Practice Location Address
First Line : 6 N RAILROAD AVE
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-1242
Country : US
Telephone Number : 302-856-9746
Fax Number : 302-856-9766
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JOAN CHATTERTON
Credential : RN, LCSW
Telephone Number : 302-856-9746
Provider Enumeration Date : 01/10/2007
Last Update Date : 08/22/2020

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Directions to “AQUILA OF DELAWARE, INC. ” Practice Location

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