Organization
DELTA COMMUNITY SUPPORTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ANN SMITH-CLEWELL (ASSISTANT COST ACCOUNTANT)
(215) 654-1000
Entity
Organization
Contact information
Practice address
111 PROMISE AVE, TOMS RIVER, NJ 08755-1547
(732) 363-5038
Mailing address
1777 SENTRY PKWY W # VEVA14, BLUE BELL, PA 19422-2207
(215) 654-1000
(215) 641-0393
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0486612
DDD
NJ
Enumeration date
12/29/2017
Last updated
12/29/2017
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