Provider Demographics
NPI:1285313650
Name:MAY, DELICIA D (HOME MANAGER AFC)
Entity type:Individual
Prefix:MS
First Name:DELICIA
Middle Name:D
Last Name:MAY
Suffix:
Gender:F
Credentials:HOME MANAGER AFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8163
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48208-0163
Mailing Address - Country:US
Mailing Address - Phone:734-292-2503
Mailing Address - Fax:
Practice Address - Street 1:8054 TERRY STREET
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-0163
Practice Address - Country:US
Practice Address - Phone:586-745-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI9988728163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health