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General NPI Number Information
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NPI Number | 1699739433
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Entity Type | Organization
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Legal Business Name | DELTA HOME CARE, INC.
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9 CROTHERS DR
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City | TALLULAH
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State | LA
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Zip | 71282-5509
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Country | US
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Telephone | 318-574-5700
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Fax | 318-574-5356
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Provider Business Mailing Address
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Address Line | PO BOX 392 9 CROTHERS DRIVE
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City | TALLULAH
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State | LA
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Zip | 71284-0392
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Country | US
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Telephone | 318-574-5700
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Fax | 318-574-5356
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SARAH CHARLYNNE PAXTON
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Credential |
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Telephone | 318-574-5700
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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 | 153
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License Number State | LA
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