Organization
DELTA HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA WHITE MCKOY (AGENCY DIRECTOR)
(336) 765-5025
Entity
Organization
Contact information
Practice address
3410 HEALY DR, SUITE 213, WINSTON SALEM, NC 27103-1403
(336) 765-5025
(336) 765-5024
Mailing address
3410 HEALY DR, SUITE 213, WINSTON SALEM, NC 27103-1403
(336) 765-5025
(336) 765-5024
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC2385
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601021
—
NC
Enumeration date
02/23/2007
Last updated
08/31/2007
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