Deta Corporation
NPI #1245287721 in South Chicago Heights, Illinois
Provider Information
- NPI Number
- 1245287721
- Entity Type
- Organization
- Organization Name
- Deta Corporation
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3259 HOLEMAN AVE
- State
- Illinois
- ZIP Code
- 60411-5515
- Phone
- (708) 756-7440
Authorized Official
- Name
- MRS. ERMELINDA P. DJONDO, COLLEGE GRADUATE
- Title
- VICE-PRESIDENT
- Phone
- (708) 756-7440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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