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Contact Information

DEL LAGO MEDICAL INC
12020 S WARNER ELLIOT LOOP
STE 101
PHOENIX, AZ85044-2700
 Phone: 480-751-1900
 Fax: 480-779-6289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for DEL LAGO MEDICAL INC

NPI # 1568733400
LBN Legal business name DEL LAGO MEDICAL INC
Authorized official SACHIN DIDDEE - (MANAGER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2012
Last updated 02/06/2012 - About 14 years ago
Identifiers
AZ Medicaid 670455
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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