Delta Residential Services LLC

NPI #1508225871 in Schertz, Texas

Provider Information

NPI Number: 1508225871
Entity Type: Organization
Organization Name: Delta Residential Services LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 16, 2016
Last Updated: Feb 16, 2016

Practice Location

Address: 520 LIVINGSTON DR
City: Schertz
State: Texas
ZIP Code: 78108-3480
Phone: (732) 640-3977

Authorized Official

Name: OLADOYIN LOSTOCCO
Title: ADMINISTRATOR, OWNER
Phone: (732) 640-3977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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