Organization
DELTA SOUTH PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A ELMORE (ADMINISTRATOR/CEO)
(870) 702-1820
Entity
Organization
Contact information
Practice address
124 ACWIN ST, 124 ACWIN ST, GILMORE, AR 72339-0003
(870) 702-1820
(501) 325-0920
Mailing address
PO BOX 3, GILMORE, AR 72339-0003
(870) 702-1820
(501) 325-0920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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