Provider Demographics
NPI:1386718773
Name:DELTA HOME CARE INC.
Entity type:Organization
Organization Name:DELTA HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:BOTE
Authorized Official - Last Name:PAVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-698-2326
Mailing Address - Street 1:37300 DEQUINDRE ROAD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:586-698-2326
Mailing Address - Fax:586-698-2392
Practice Address - Street 1:37300 DEQUINDRE ROAD
Practice Address - Street 2:SUITE 118
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-698-2326
Practice Address - Fax:586-698-2392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health