Healthcare Provider Details

I. General information

NPI: 1700723384
Provider Name (Legal Business Name): DELLA HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11260 LADY JANE LOOP APT 303
MANASSAS VA
20109-2737
US

IV. Provider business mailing address

11260 LADY JANE LOOP APT 303
MANASSAS VA
20109-2737
US

V. Phone/Fax

Practice location:
  • Phone: 203-314-5938
  • Fax:
Mailing address:
  • Phone: 203-314-5938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: DAVID ORLANDO DELACRUZ
Title or Position: PRESIDENT
Credential:
Phone: 203-314-5938