Organization
DELTA AMERICAN HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE PRISOCK (ACCOUNTANT)
(318) 878-9058
Entity
Organization
Contact information
Practice address
119 BROADWAY ST, DELHI, LA 71232-2903
(318) 878-9017
(318) 878-2585
Mailing address
115 BROADWAY ST, PO BOX 727, DELHI, LA 71232-2903
(318) 878-9058
(318) 878-9053
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2846
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1979104
—
LA
Enumeration date
07/24/2007
Last updated
07/24/2007
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