Provider Demographics
NPI:1588400766
Name:DELIGHTSOME CARE SERVICES
Entity type:Organization
Organization Name:DELIGHTSOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:EMEM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:732-535-0831
Mailing Address - Street 1:53 IRVING ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-4402
Mailing Address - Country:US
Mailing Address - Phone:732-535-0831
Mailing Address - Fax:
Practice Address - Street 1:53 IRVING ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-4402
Practice Address - Country:US
Practice Address - Phone:732-535-0831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care