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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