- Enrollment id
- O20080821000258
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1972768059
- Multiple npi flag
- N
- Ccn
- 239054
- Associate id
- 8426123720
- Organization name
- DELTA HOME HEALTH CARE LLC
- Incorporation date
- 2008-07-07
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 31868 NORTHWESTERN HWY
- City
- FARMINGTON HILLS
- State
- MI
- Zip code
- 483341628
- Practice location type
- HHA BRANCH