Healthcare Provider Details

I. General information

NPI: 1982202602
Provider Name (Legal Business Name): DELTA HEALTHCARE & WELLNESS CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 N BRIDGE ST
VISALIA CA
93291-5015
US

IV. Provider business mailing address

3580 WILSHIRE BLVD STE 600
LOS ANGELES CA
90010-2502
US

V. Phone/Fax

Practice location:
  • Phone: 559-732-8614
  • Fax:
Mailing address:
  • Phone: 559-732-8614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SHLOMO RECHNITZ
Title or Position: MANAGER
Credential:
Phone: 626-800-1191