| Delvaway Therapy Services Llc | |
|
830 N John Young Pkwy Kissimmee FL 34741-4912 | |
| (305) 417-8503 | |
| Not Available |
| Full Name | Delvaway Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 830 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Ruth Delva (OWNER) |
| Authorized Official Contact | 3054178503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delvaway Therapy Services Llc 830 N John Young Pkwy Kissimmee FL 34741-4912 Ph: () - | Delvaway Therapy Services Llc 830 N John Young Pkwy Kissimmee FL 34741-4912 Ph: (305) 417-8503 |
| NPI Number | 1750073706 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Medicare PECOS PAC ID | 0547620635 |
|---|---|
| Medicare Enrollment ID | O20230720003919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750073706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ruth Delva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699263343 PECOS PAC ID: 2668891961 Enrollment ID: I20201007000047 |
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