Organization
DALLAH EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERYL MATENGO (C.E.O)
(201) 985-4887
Entity
Organization
Contact information
Practice address
1869 SUNSET DR, WHITEHALL, PA 18052-4127
(201) 985-4887
Mailing address
1869 SUNSET DR, WHITEHALL, PA 18052-4127
(201) 985-4887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WH1000X
Hospice Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
208D00000X
General Practice Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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