Provider Demographics
NPI:1336691682
Name:DELA CASE MANAGEMENT
Entity Type:Organization
Organization Name:DELA CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIKI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:WORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-704-6591
Mailing Address - Street 1:2006 GUS KAPLAN DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3376
Mailing Address - Country:US
Mailing Address - Phone:318-704-6591
Mailing Address - Fax:888-662-1332
Practice Address - Street 1:2006 GUS KAPLAN DR
Practice Address - Street 2:SUITE C
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3376
Practice Address - Country:US
Practice Address - Phone:318-704-6591
Practice Address - Fax:888-662-1332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203782946251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management