Provider Demographics
NPI:1790966067
Name:DELTA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:DELTA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAMIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WEDDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-542-2456
Mailing Address - Street 1:12134 KENN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1318
Mailing Address - Country:US
Mailing Address - Phone:513-542-2456
Mailing Address - Fax:513-542-3139
Practice Address - Street 1:12134 KENN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1318
Practice Address - Country:US
Practice Address - Phone:513-542-2456
Practice Address - Fax:513-542-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty