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NPI Code Detail

MEDICARE: NORTH DELTA HOME CARE LLC

MEDICARE: NORTH DELTA HOME CARE LLC
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
1261QH0100XHealth Service Clinic/Center2203782714LA

General Provider Information

NPI Number : 1730534041
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH DELTA HOME CARE LLC
Provider Business Mailing Address
First Line : 1900 LAMY LN
Second Line : SUITE H
City : MONROE
State : LA
Zip : 71201-9207
Country : US
Telephone Number : 318-570-5230
Fax Number : 318-570-5225
Provider Business Practice Location Address
First Line : 1900 LAMY LN
Second Line : SUITE H
City : MONROE
State : LA
Zip : 71201-9207
Country : US
Telephone Number : 318-570-5230
Fax Number : 318-570-5225
Authorized Official
Title or Position : ASSISTANT DIRECTOR
Name : MS. DIANE BINION
Credential :
Telephone Number : 318-570-5230
Provider Enumeration Date : 04/25/2016
Last Update Date : 04/25/2016

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Directions to “NORTH DELTA HOME CARE LLC ” Practice Location

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