NPI 1023384245

Delta Soul Medical Homecare

Organisation Personal Care Attendant Cleveland, MS

Practice location

Address: 103 S Court St Suite 118, Cleveland, MS 38732-2651
Phone: (662) 843-0006
Fax: (662) 843-0002
Mailing address: 103 Ashley St STE 118 Suite 118, Cleveland, MS 38732-2406

Authorised official

Name: Zeyad Kassem
Title: Owner
Phone: (662) 843-0006

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1023384245
Entity type: Organization
NPI issued: 2 Apr 2012
Record last updated: 2 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.