Provider Demographics
NPI:1558632679
Name:DELTA OAKS, LLC
Entity Type:Organization
Organization Name:DELTA OAKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAN JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-532-6710
Mailing Address - Street 1:19112 MILE 4 W
Mailing Address - Street 2:
Mailing Address - City:EDCOUCH
Mailing Address - State:TX
Mailing Address - Zip Code:78538-2128
Mailing Address - Country:US
Mailing Address - Phone:956-532-6710
Mailing Address - Fax:956-262-0009
Practice Address - Street 1:19112 MILE 4 W
Practice Address - Street 2:
Practice Address - City:EDCOUCH
Practice Address - State:TX
Practice Address - Zip Code:78538-2128
Practice Address - Country:US
Practice Address - Phone:956-532-6710
Practice Address - Fax:956-262-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health