Provider Demographics
NPI:1073220190
Name:DELIA MARIA HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:DELIA MARIA HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-288-3653
Mailing Address - Street 1:2945-47 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133
Mailing Address - Country:US
Mailing Address - Phone:267-586-7458
Mailing Address - Fax:215-790-6257
Practice Address - Street 1:2809 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105
Practice Address - Country:US
Practice Address - Phone:856-794-0059
Practice Address - Fax:215-790-6257
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELIA MARIA HOME CARE AGENCY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health