Provider Demographics
NPI:1629337985
Name:DALEY HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:DALEY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DALEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:954-649-3620
Mailing Address - Street 1:8040 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5069
Mailing Address - Country:US
Mailing Address - Phone:954-649-3620
Mailing Address - Fax:954-749-7586
Practice Address - Street 1:8040 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5069
Practice Address - Country:US
Practice Address - Phone:954-649-3620
Practice Address - Fax:954-749-7586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9038251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health