Organization
DELTA CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINERVA MINNIE MIJANGOS (ADMINISTRATIVE PROGRAM COORDINATOR)
(559) 276-7558
Entity
Organization
Contact information
Practice address
4705 N SONORA AVE STE 113, FRESNO, CA 93722-3965
(559) 276-7558
Mailing address
4705 N SONORA AVE STE 113, FRESNO, CA 93722-3965
(559) 276-7558
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100082AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B5872192
CA DMV
CA
Enumeration date
09/20/2012
Last updated
09/20/2012
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