Provider Demographics
NPI:1194022335
Name:DELICATE HOME HEALTH CARE,LLC
Entity Type:Organization
Organization Name:DELICATE HOME HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR.
Authorized Official - Prefix:MR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:POOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-368-0259
Mailing Address - Street 1:10211 W SAMPLE RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3972
Mailing Address - Country:US
Mailing Address - Phone:754-368-0259
Mailing Address - Fax:
Practice Address - Street 1:10211 W SAMPLE RD
Practice Address - Street 2:SUITE 116
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3972
Practice Address - Country:US
Practice Address - Phone:754-368-0259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health