Provider Demographics
NPI:1760179212
Name:DLT HOME HEALTH CARE FOR CHILDREN
Entity Type:Organization
Organization Name:DLT HOME HEALTH CARE FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TABOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-206-5244
Mailing Address - Street 1:455 KING OAK LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1356
Mailing Address - Country:US
Mailing Address - Phone:513-206-5244
Mailing Address - Fax:
Practice Address - Street 1:455 KING OAK LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1356
Practice Address - Country:US
Practice Address - Phone:513-206-5244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health