Delta American Healthcare, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Delhi, LA
NPI 1467577494 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1467577494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 760 (LA)
- Legal business name
- DELTA AMERICAN HEALTHCARE, INC.
- Practice address
- 119 Broadway St
Delhi, LA 71232-2903 - Phone
- (318) 878-9017
- Fax
- (318) 878-2585
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jesse Prisock
- Title
- Accountant
- Phone
- (318) 878-9058
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Delta American Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 760 | LA | Yes |
Addresses
Primary practice location
119 Broadway St
Delhi, LA 71232-2903
Mailing address
115 Broadway St
PO Box 727
Delhi, LA 71232-2903
Phone (318) 878-9058
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1713171 | Other | LA | PROVIDER # WEBSTER CH |
Other providers in Delhi, LA
- Delta American Healthcare, Inc
- Delta American Healthcare, Inc
- Delta American Healthcare, Inc
- Delta American Healthcare, Inc
- Delta American Healthcare, Inc
- Delta American Helathcare, Inc
- Delta American Helathcare, Inc
- Delta American Helathcare, Inc
- Jamie Kelley Dickerson
- Angelic Dorsey
All providers in Delhi, LA · Intellectual Disabilities Intermediate Care Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.