Provider Demographics
NPI:1184166142
Name:DELICATE HOME HEALTH CARE CORP
Entity type:Organization
Organization Name:DELICATE HOME HEALTH CARE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KALEKWA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-898-5923
Mailing Address - Street 1:15642 ALTOMARE TRACE WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5779
Mailing Address - Country:US
Mailing Address - Phone:800-216-0372
Mailing Address - Fax:
Practice Address - Street 1:15642 ALTOMARE TRACE WAY
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5779
Practice Address - Country:US
Practice Address - Phone:571-989-1612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health