# DELTA AMERICAN HEALTHCARE, INC

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

## Provider details

- **NPI number:** 1881719813
- **Authorized official:** MR. JESSE PRISOCK (ACCOUNTANT)
- **Authorized official phone:** (318) 878-9058

## Contact information

- **Practice address:** 119 BROADWAY ST, DELHI, LA 71232-2903
- **Practice address phone:** (318) 878-9011
- **Practice address fax:** (318) 878-2585
- **Mailing address:** 115 BROADWAY ST, PO BOX 727, DELHI, LA 71232-2903
- **Mailing address phone:** (318) 878-9058
- **Mailing address fax:** (318) 878-9053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 5322 | LA | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1540978 | PROVIDER \# RESPITE | LA |