Organization
DELTACARE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIAMMA NONE CHACKO R.N. (ADMINISTRATOR/DON)
(972) 255-6171
Entity
Organization
Contact information
Practice address
2608 TEXAS DR, IRVING, TX 75062-7058
(972) 255-6171
(972) 257-3193
Mailing address
2608 TEXAS DR, IRVING, TX 75062-7058
(972) 255-6171
(972) 257-3193
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009062
TX
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/10/2006
Last updated
10/12/2022
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