Healthcare Provider Details

I. General information

NPI: 1134807407
Provider Name (Legal Business Name): DLT HOME HELP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N MAIN ST
HERSEY MI
49639-5126
US

IV. Provider business mailing address

PO BOX 123
HERSEY MI
49639-0123
US

V. Phone/Fax

Practice location:
  • Phone: 231-629-1519
  • Fax:
Mailing address:
  • Phone: 231-629-1519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBBIE L TODD
Title or Position: OWNER
Credential:
Phone: 231-629-1519