Healthcare Provider Details

I. General information

NPI: 1124075098
Provider Name (Legal Business Name): LOUISIANA HOMECARE OF DELHI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 CINCINNATI ST
DELHI LA
71232-3009
US

IV. Provider business mailing address

P.O. BOX 51266
LAFAYETTE LA
70505-1266
US

V. Phone/Fax

Practice location:
  • Phone: 318-878-5152
  • Fax: 318-878-9671
Mailing address:
  • Phone: 337-233-1307
  • Fax: 337-233-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number984
License Number StateLA

VIII. Authorized Official

Name: MR. DONALD D. STELLY
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307