DELTA HOUSE NPI 1538373931

NPI Information

DELTA HOUSE is an intermediate care facility mental illness in West Helena, AR. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. DELTA HOUSE NPI is 1538373931. The provider is registered as an organization entity type.

The provider's business location address is:

252 DESOTA
WEST HELENA, AR
ZIP 72390-823
Phone: (870) 572-3417
Fax: (870) 572-2653

The provider's authorized official is Henrietta Wilson .
The authorized official title is Administrator and has the following contact phone number (870) 572-4124.

The CLIA number assigned to this NPI record is 04D0919791 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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