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TRADITIONAL COMMUNITY LIVING

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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Contact Information

TRADITIONAL COMMUNITY LIVING
8367 BRICK GRANARY ROAD
LINCOLN, DE  19960
 Phone: 302-424-0907
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 320600000X
Indicates primary specialty

NPI Profile & details for TRADITIONAL COMMUNITY LIVING

NPI # 1679849046
LBN Legal business name TRADITIONAL COMMUNITY LIVING
Authorized official KIMBERLY JOHNSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2012
Last updated 03/29/2012 - About 14 years ago
Identifiers
DE License # 20120227152
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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