Provider Demographics
NPI:1790783033
Name:DEL & ASSOCIATES NURSING SERVICE, INC.
Entity Type:Organization
Organization Name:DEL & ASSOCIATES NURSING SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALLERIE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:CRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-393-7355
Mailing Address - Street 1:418 N TURNER ST
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-5731
Mailing Address - Country:US
Mailing Address - Phone:505-393-7355
Mailing Address - Fax:505-393-4317
Practice Address - Street 1:418 N TURNER ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-5731
Practice Address - Country:US
Practice Address - Phone:505-393-7355
Practice Address - Fax:505-393-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6041251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMN1915Medicaid
NM327088Medicare ID - Type UnspecifiedHOME HEALTH AGENCY