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General NPI Number Information
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NPI Number | 1629556725
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Entity Type | Individual
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Provider Name | ANNE DELEGENCIA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 971 N MAIN ST STE 5
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City | SALINAS
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State | CA
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Zip | 93906-3957
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Country | US
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Telephone | 831-272-3855
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Fax |
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Provider Business Mailing Address
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Address Line | 3976 BOXSTEAD CMN
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City | FREMONT
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State | CA
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Zip | 94555-2247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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