# DELTA AMERICAN HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366620494
- **Authorized official:** MR. JESSE PRISOCK (ACCOUNTANT)
- **Authorized official phone:** (318) 878-9058

## Contact information

- **Practice address:** 115 BROADWAY ST, DELHI, LA 71232-2903
- **Practice address phone:** (318) 878-9058
- **Practice address fax:** (318) 878-9053
- **Mailing address:** 115 BROADWAY ST, DELHI, LA 71232-2903
- **Mailing address phone:** (318) 878-9058
- **Mailing address fax:** (318) 878-9053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | — | — |
| 385H00000X | Respite Care | 3913 | LA | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1170780 | — | LA |
| 05 | — | 1435520 | — | LA |
| 05 | — | 1540978 | — | LA |
| 05 | — | 1671851 | — | LA |
| 05 | — | 1713171 | — | LA |
| 05 | — | 1713414 | — | LA |
| 05 | — | 1713457 | — | LA |
| 05 | — | 1717312 | — | LA |
| 05 | — | 1717690 | — | LA |
| 05 | — | 1718394 | — | LA |
| 05 | — | 1718408 | — | LA |
| 05 | — | 1718416 | — | LA |
| 05 | — | 1718513 | — | LA |
| 05 | — | 1718530 | — | LA |
| 05 | — | 1718556 | — | LA |
| 05 | — | 1718564 | — | LA |
| 05 | — | 1913120 | — | LA |
| 05 | — | 1979104 | — | LA |