Organization
TRISTATE HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE B ROESLER (OWNER)
(302) 800-0361
Entity
Organization
Contact information
Practice address
1201 N MARKET ST STE 111, WILMINGTON, DE 19801-1156
(302) 800-0361
(302) 800-0365
Mailing address
1201 N MARKET ST STE 111, WILMINGTON, DE 19801-1156
(302) 800-0361
(302) 800-0365
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/08/2024
Last updated
08/09/2024
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