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Organization

DELMARVA COMMUNITY SERVICES INC

Active
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Organization

DELMARVA COMMUNITY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SANTO A GRANDE (CEO)
(410) 221-1900
Entity
Organization

Contact information

Practice address
6210 SHILOH CHURCH HURLOCK RD, HURLOCK, MD 21613
(410) 943-1106
Mailing address
2450 CAMBRIDGE BELTWAY, CAMBRIDGE, MD 21613-3679
(410) 221-1900
(410) 221-1952

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
103TR0400X
Rehabilitation Psychologist
251J00000X
Nursing Care Agency
10446
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000722856
DE
05
024613100
MD
05
334333200
MD
Enumeration date
12/13/2006
Last updated
03/09/2021
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