Provider Demographics
NPI:1144652413
Name:DELMAR HEALTH SERVICES INCORPORATED
Entity type:Organization
Organization Name:DELMAR HEALTH SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRRIAM
Authorized Official - Middle Name:AGBOR
Authorized Official - Last Name:ASHU
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:832-595-6106
Mailing Address - Street 1:20802 MANSFIELD BAY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2677
Mailing Address - Country:US
Mailing Address - Phone:832-741-3813
Mailing Address - Fax:832-595-6106
Practice Address - Street 1:20802 MANSFIELD BAY LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2677
Practice Address - Country:US
Practice Address - Phone:832-741-3813
Practice Address - Fax:832-595-6106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health