Healthcare Provider Details
I. General information
NPI: 1003437195
Provider Name (Legal Business Name): DELIGHT HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2020
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4123 MARTIN RD STE 201
COMMERCE TOWNSHIP MI
48390-4151
US
IV. Provider business mailing address
43168 SANDSTONE DR
NOVI MI
48377-2718
US
V. Phone/Fax
- Phone: 248-231-2001
- Fax:
- Phone: 248-231-5146
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SARATH CHANDER REDDY
PASHAM
Title or Position: PHYSCIAL THERAPIST
Credential: PT, DPT
Phone: 248-231-2001