Provider Demographics
NPI:1710230198
Name:AMITY HOMES INC
Entity Type:Organization
Organization Name:AMITY HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:BALKISSOU
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSSIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-324-1040
Mailing Address - Street 1:287 CHRISTIANA RD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-2978
Mailing Address - Country:US
Mailing Address - Phone:302-324-2040
Mailing Address - Fax:206-339-7380
Practice Address - Street 1:287 CHRISTIANA RD
Practice Address - Street 2:SUITE 24
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2978
Practice Address - Country:US
Practice Address - Phone:302-324-2040
Practice Address - Fax:206-339-7380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health