Organization
DELTA AMERICAN HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL JAMES WATTS (ADMINISTRATOR)
(318) 878-9058
Entity
Organization
Contact information
Practice address
119 BROADWAY ST, DELHI, LA 71232-2903
(318) 878-9011
(318) 878-2585
Mailing address
115 BROADWAY ST, PO BOX 727, DELHI, LA 71232-2903
(318) 878-9058
(318) 878-9053
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
3913
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170780
PROVIDER # SIL PCS 24
LA
Enumeration date
03/21/2007
Last updated
01/12/2023
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