Provider Demographics
NPI:1225799174
Name:BABAPULLE, DELAILAH C
Entity Type:Individual
Prefix:
First Name:DELAILAH
Middle Name:C
Last Name:BABAPULLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 KILAHA PL
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3157
Mailing Address - Country:US
Mailing Address - Phone:808-756-8377
Mailing Address - Fax:808-491-2351
Practice Address - Street 1:684 KILAHA PL
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3157
Practice Address - Country:US
Practice Address - Phone:808-756-8377
Practice Address - Fax:808-491-2351
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty