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Contact Information

NATIONAL MENTOR HEALTHCARE, LLC
28417 DUPONT HIGHWAY
MILLSBORO, DE19966-1209
 Phone: 732-627-9890
 Fax: 732-563-6780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Intermediate Care Facility, Mentally Retarded

315P00000X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NATIONAL MENTOR HEALTHCARE LLC · (Female)

NPI Number 1588937486
Status Active
Credentials
Entity Individual
Enumeration date 02/23/2012
Last updated 08/26/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • DE Medicaid 000000123
  • DE Medicaid 221000123
  • DE Medicaid 250596940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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