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NPI Code Detail

MEDICARE: DELTA HEALTHCARE PLACEMENT

MEDICARE: DELTA HEALTHCARE PLACEMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1679194815
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELTA HEALTHCARE PLACEMENT
Provider Business Mailing Address
First Line : 3100 OLYMPUS BLVD
Second Line :
City : COPPELL
State : TX
Zip : 75019-5472
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 OLYMPUS BLVD
Second Line :
City : COPPELL
State : TX
Zip : 75019-5472
Country : US
Telephone Number : 800-521-5060
Fax Number :
Authorized Official
Title or Position : EVP
Name : NATHAN FOREMAN
Credential :
Telephone Number : 214-952-3658
Provider Enumeration Date : 04/28/2020
Last Update Date : 04/28/2020

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Directions to “DELTA HEALTHCARE PLACEMENT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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