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Organization
BEIT SHALOM/HOUSE OF PEACE
Active
Organization
BEIT SHALOM/HOUSE OF PEACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILES A RAYNOR (CEO)
(678) 255-5990
Entity
Organization
Contact information
Practice address
130 PLYMOUTH PL, MIDDLETOWN, DE 19709-8313
(678) 255-5990
Mailing address
130 PLYMOUTH PL, MIDDLETOWN, DE 19709-8313
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2016606010
DE
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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