Organization
ADVOSERV GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH E FAVELL (PRESIDENT)
(352) 383-7612
Entity
Organization
Contact information
Practice address
4185 KIRKWOOD ST GEORGES RD, BEAR, DE 19701-2272
(302) 834-7018
(302) 834-7155
Mailing address
4185 KIRKWOOD ST GEORGES RD, BEAR, DE 19701-2272
(302) 834-7018
(302) 834-7155
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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