Organization
DELMAX HEALTHCARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES MAXINE PASSMORE LPN (ADMINISTRATOR)
(919) 855-9280
Entity
Organization
Contact information
Practice address
1305 E MILLBROOK RD, SUITE C 105, RALEIGH, NC 27609-5400
(919) 855-9280
(919) 855-9281
Mailing address
1305 E MILLBROOK RD, SUITE C 105, RALEIGH, NC 27609-5400
(919) 855-9280
(919) 855-9281
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601275
—
NC
Enumeration date
12/19/2006
Last updated
08/22/2020
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