Organization
DELTA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS E. KUNTZ M.S.,F.A.C.H.E., CPA (ADMINISTRATOR)
(770) 502-7912
Entity
Organization
Contact information
Practice address
14 FARMER ST, NEWNAN, GA 30263-1417
(770) 502-7912
(770) 502-7709
Mailing address
14 FARMER ST, NEWNAN, GA 30263-1417
(770) 502-7912
(770) 502-7709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
038-R-0002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00866489A
—
GA
05
—
00866489B
—
GA
Enumeration date
08/23/2006
Last updated
08/22/2020
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