Provider Demographics
NPI:1962729012
Name:DONNALIA DELIAZAR
Entity type:Organization
Organization Name:DONNALIA DELIAZAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELIAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:954-461-8059
Mailing Address - Street 1:11118 NW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7576
Mailing Address - Country:US
Mailing Address - Phone:954-461-8059
Mailing Address - Fax:954-320-7967
Practice Address - Street 1:11118 NW 37TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7576
Practice Address - Country:US
Practice Address - Phone:954-461-8059
Practice Address - Fax:954-320-7967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health