Provider Demographics
NPI:1780207506
Name:MARY'S HELP HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:MARY'S HELP HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-581-1359
Mailing Address - Street 1:3469 TENNESSEE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-4908
Mailing Address - Country:US
Mailing Address - Phone:707-645-7447
Mailing Address - Fax:
Practice Address - Street 1:3469 TENNESSEE ST STE 101
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-4908
Practice Address - Country:US
Practice Address - Phone:707-645-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty