Healthcare Provider Details

I. General information

NPI: 1184616914
Provider Name (Legal Business Name): DELTA HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BUSINESS PARK WAY
ROYAL PALM BEACH FL
33411-1747
US

IV. Provider business mailing address

2 N PALAFOX ST
PENSACOLA FL
32502-5631
US

V. Phone/Fax

Practice location:
  • Phone: 561-798-3700
  • Fax: 561-795-3583
Mailing address:
  • Phone: 850-430-0000
  • Fax: 850-436-6766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1483096
License Number StateFL

VIII. Authorized Official

Name: SCOTT J BELL
Title or Position: CEO PRESIDENT
Credential:
Phone: 850-430-0000