Provider Demographics
NPI:1497373864
Name:DELANY'S HEALTHCARE
Entity Type:Organization
Organization Name:DELANY'S HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DELANY
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:419-775-7534
Mailing Address - Street 1:390 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-2015
Mailing Address - Country:US
Mailing Address - Phone:419-775-7534
Mailing Address - Fax:419-775-7537
Practice Address - Street 1:390 MARION AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2015
Practice Address - Country:US
Practice Address - Phone:419-775-7534
Practice Address - Fax:419-775-7537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-11
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care