Organization
DELTA RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADOYIN LOSTOCCO (ADMINISTRATOR, OWNER)
(732) 640-3977
Entity
Organization
Contact information
Practice address
520 LIVINGSTON DR, SCHERTZ, TX 78108-3480
(732) 640-3977
Mailing address
520 LIVINGSTON DR, SCHERTZ, TX 78108-3480
(732) 640-3977
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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