Provider Demographics
NPI:1144480278
Name:DELTA INDEPENDENT LIVING LLC
Entity type:Organization
Organization Name:DELTA INDEPENDENT LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-975-7130
Mailing Address - Street 1:1125 JAMES ST STE E
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6657
Mailing Address - Country:US
Mailing Address - Phone:956-968-8700
Mailing Address - Fax:888-487-2445
Practice Address - Street 1:1125 JAMES ST STE E
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6657
Practice Address - Country:US
Practice Address - Phone:956-968-8700
Practice Address - Fax:888-487-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management