Provider Demographics
NPI:1417704263
Name:DELANY CARES PERSONAL CARE SERVICES
Entity type:Organization
Organization Name:DELANY CARES PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:DENIA
Authorized Official - Middle Name:BREWER
Authorized Official - Last Name:TYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-298-0214
Mailing Address - Street 1:2702 MCINTOSH ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-9614
Mailing Address - Country:US
Mailing Address - Phone:573-298-0214
Mailing Address - Fax:
Practice Address - Street 1:2702 MCINTOSH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:NC
Practice Address - Zip Code:28034-9614
Practice Address - Country:US
Practice Address - Phone:573-298-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty