Provider Demographics
NPI:1811122617
Name:D-LITE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:D-LITE HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P, CNA
Authorized Official - Phone:843-325-5590
Mailing Address - Street 1:PO BOX 414
Mailing Address - Street 2:1943 BOYD RD
Mailing Address - City:SCRANTON
Mailing Address - State:SC
Mailing Address - Zip Code:29591-0414
Mailing Address - Country:US
Mailing Address - Phone:843-325-5590
Mailing Address - Fax:843-210-7543
Practice Address - Street 1:1943 BOYD RD
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:SC
Practice Address - Zip Code:29591-5835
Practice Address - Country:US
Practice Address - Phone:843-325-5590
Practice Address - Fax:843-210-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable