Odessa House Rtc

LBN: State Of Delaware Dscyf
Odessa House Rtc is an health care organization with primary practice located at 493 E Main St , Middletown DE 19709-1463. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. State Of Delaware Dscyf can be contacted via phone (302) 378-5226, or through Manning, Josette via phone (302) 633-2500.

Contact Information

Primary practice address
493 E Main St Middletown DE 19709-1463
Phone: (302) 378-5226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manning, Josette ESQ.
Phone: (302) 633-2500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1164501318
LBN Legal business name State Of Delaware Dscyf
DBA Doing business as Odessa House Rtc
Authorized official Manning, Josette ESQ.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Jan 9th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164501318 NPPES
Delaware MEDICAID 0000489267
Delaware Other 0690004200

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