Organization Name: | DELTA AMERICAN HEALTHCARE, INC |
NPI Number: | 1841669876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDALL JAMES WATTS (ADMINISTRATOR) |
Mailing Address: | 119 Broadway St Delhi |
State: | LA US |
Postal Code: | 712322903 |
Phone Number: | 3188789017 |
Fax Number: | 3188782585 |
NPI Enumeration Date: | 09/21/2015 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |