Delta Soul Medical Homecare, LLC

NPI #1679848204 in Cleveland, Mississippi

Provider Information

NPI Number: 1679848204
Entity Type: Organization
Organization Name: Delta Soul Medical Homecare, LLC
Primary Specialty: Homemaker
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

Address: 103 S COURT ST
Address 2: SUITE 118
City: Cleveland
State: Mississippi
ZIP Code: 38732-2651
Phone: (662) 843-0006

Authorized Official

Name: MR. ZEYAD KASSEM
Title: CEO
Phone: (662) 843-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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