Organization
ISSAA RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ABLOYOU MARZAR (PRESIDENT)
(302) 507-7292
Entity
Organization
Contact information
Practice address
345 SUNNYSIDE LN, TOWNSEND, DE 19734-9043
(302) 507-7292
Mailing address
345 SUNNYSIDE LN, TOWNSEND, DE 19734-9043
(302) 507-7292
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/21/2024
Last updated
11/23/2024
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