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Organization

RICK VAN STORY RESOURCE CENER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALLEN CONOVER (C.E.O)
(302) 530-0342
Entity
Organization

Contact information

Practice address
500 W 2ND ST, WILMINGTON, DE 19801-2312
(302) 691-7946
(302) 654-4778
Mailing address
500 W 2ND ST, WILMINGTON, DE 19801-2312
(302) 691-7946
(302) 654-4778

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
DE
251B00000X
Case Management Agency
DE
251C00000X
Developmentally Disabled Services Day Training Agency
DE
251S00000X
Community/Behavioral Health Agency
02148
DE
343900000X
Non-emergency Medical Transport (VAN)
Primary
DE
347C00000X
Private Vehicle
DE
385H00000X
Respite Care
02148
DE

Other

Enumeration date
01/06/2015
Last updated
01/09/2015
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