| NPI | 1811140338 |
|---|---|
| Doing Business As | DELTA CARE COMMUNITY BASED REHABILITATION II |
| Entity Type | Organization |
| Authorized Contact | DONNIE LYERLY Provider Credentialing 870-972-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2009-09-18 |