NPI | 1932702917 |
---|---|
Doing Business As | DELTA HEALTH MOBILE MED |
Entity Type | Organization |
Authorized Contact | SUSAN WARD-JONES CEO 870-735-3842 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-11-20 |
Last Update Date | 2020-11-20 |