Organization
DELTA PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN GALLAGHER MED (OWNER)
(318) 512-9218
Entity
Organization
Contact information
Practice address
526 FAIRVIEW AVE, GREENVILLE, MS 38701-5401
(662) 580-5074
(662) 580-5074
Mailing address
PO BOX 2994, MONROE, LA 71207-2994
(662) 580-5074
(662) 580-5074
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
MS
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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