Provider Demographics
NPI:1215246087
Name:DELAROSA ENTERPRISES, INC.
Entity type:Organization
Organization Name:DELAROSA ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-544-5112
Mailing Address - Street 1:9766 WATERMAN RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-9472
Mailing Address - Country:US
Mailing Address - Phone:916-544-5112
Mailing Address - Fax:916-544-5114
Practice Address - Street 1:9766 WATERMAN RD
Practice Address - Street 2:SUITE D
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-9472
Practice Address - Country:US
Practice Address - Phone:916-544-5112
Practice Address - Fax:916-544-5114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)