Healthcare Provider Details
I. General information
NPI: 1477930535
Provider Name (Legal Business Name): DELIGHT HEALTH CARE SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2015
Last Update Date: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
402 W. PENNSYLVANIA AVENUE SUITE 2
TOWSON MD
21204
US
IV. Provider business mailing address
402 W. PENNSYLVANIA AVENUE SUITE 2
TOWSON MD
21204
US
V. Phone/Fax
- Phone: 410-946-1700
- Fax: 410-260-0245
- Phone: 443-527-0700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | R3719 |
| License Number State | MD |
VIII. Authorized Official
Name: MR.
OLUFIROPO
A.
OJO
Title or Position: ADMINISTRATOR
Credential:
Phone: 410-946-1700