Provider Demographics
NPI:1922131580
Name:HEARTWOOD CORPORTION
Entity Type:Organization
Organization Name:HEARTWOOD CORPORTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-629-9002
Mailing Address - Street 1:24085 SNUG HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-7523
Mailing Address - Country:US
Mailing Address - Phone:302-629-9002
Mailing Address - Fax:
Practice Address - Street 1:24085 SNUG HARBOR RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-7523
Practice Address - Country:US
Practice Address - Phone:302-629-9002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services