Delta Care Network INC
Point of Service in Saint Paul, MN. Organization (NPI-2).
NPI number1003674524
StatusActive
Last updated in NPPESMar 8, 2024
Details
- NPI
- 1003674524
- Entity type
- Organization (NPI-2)
- Legal business name
- Delta Care Network INC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2024
- Certification date
- Mar 8, 2024
- Last updated
- Mar 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
2136 Ford Pkwy # 5354Saint Paul, MN 55116-2850
Phone 302-290-6282
Mailing address
2136 Ford Pkwy # 5354Saint Paul, MN 55116-2850
Phone 302-290-6282
Authorized official
Chavauna Cooper
Owner
3022906282
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