Provider Demographics
NPI:1730061086
Name:DELPHINE HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:DELPHINE HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERVEILLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MVOULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-205-5179
Mailing Address - Street 1:541 10TH ST NW # 2386
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 26TH ST NW
Practice Address - Street 2:APT 6001
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-779-9460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care