Organization Name: | DELTA COMMUNITY SUPPORTS, INC. |
NPI Number: | 1962883157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID A. WYHER (PRESIDENT/CEO) |
Mailing Address: | 146 Waterside Dr Apt 146 Little Ferry |
State: | NJ US |
Postal Code: | 076432211 |
Phone Number: | 9087078844 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2015 |
NPI Last Update Date: | 06/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |