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NPI Code Detail

MEDICARE: DELTA HEALTH GROUP INC

MEDICARE: DELTA HEALTH GROUP INC
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
1314000000XSkilled Nursing FacilitySNF1118096FL

General Provider Information

NPI Number : 1841282605
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELTA HEALTH GROUP INC
Provider Business Mailing Address
First Line : 2 N PALAFOX ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32502-5631
Country : US
Telephone Number : 850-430-0000
Fax Number : 850-436-6766
Provider Business Practice Location Address
First Line : 37135 COLEMAN AVE
Second Line :
City : DADE CITY
State : FL
Zip : 33525-4526
Country : US
Telephone Number : 352-567-8615
Fax Number : 352-567-1737
Authorized Official
Title or Position : CEO PRESIDENT
Name : SCOTT J BELL
Credential :
Telephone Number : 850-430-0000
Provider Enumeration Date : 08/18/2005
Last Update Date : 02/06/2008

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