Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1790966067 |
| LBN Legal business name | DELTA HOME HEALTH CARE LLC |
| Authorized official | MAMIE WEDDINGTON - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/15/2007 |
| Last updated | 11/23/2007 - About 19 years ago |
| Identifiers | n/a |
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