Provider Demographics
NPI:1568868883
Name:DELTA HOME HEALTH & PALLIATIVE CARE
Entity Type:Organization
Organization Name:DELTA HOME HEALTH & PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIAMALU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-625-2901
Mailing Address - Street 1:15342 EL PRADO RD
Mailing Address - Street 2:SUITE NUMBER 201
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-7659
Mailing Address - Country:US
Mailing Address - Phone:626-625-2901
Mailing Address - Fax:
Practice Address - Street 1:15342 EL PRADO RD
Practice Address - Street 2:SUITE NUMBER 201
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-7659
Practice Address - Country:US
Practice Address - Phone:626-625-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health