# CARE DELIVERY ALLIANCE

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

## Provider details

- **NPI number:** 1467820795
- **Authorized official:** MRS. TRACY CHILDRESS MHA, CMPE (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (352) 323-5665

## Contact information

- **Practice address:** 701 N PALMETTO ST, SUITE F, LEESBURG, FL 34748-4493
- **Practice address phone:** (352) 323-5665
- **Practice address fax:** (352) 323-1092
- **Mailing address:** 701 N PALMETTO ST, SUITE F, LEESBURG, FL 34748-4493
- **Mailing address phone:** (352) 323-5665
- **Mailing address fax:** (352) 323-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/08/2015