Provider Demographics
NPI:1831665819
Name:DELAHAY HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:DELAHAY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELVERTA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DELAHAY
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:240-925-6485
Mailing Address - Street 1:40001 STILLWATER LN
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650
Mailing Address - Country:US
Mailing Address - Phone:240-925-6485
Mailing Address - Fax:
Practice Address - Street 1:40001 STILLWATER LN
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650
Practice Address - Country:US
Practice Address - Phone:240-925-6485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty