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Organization
MID-DELTA HOME HEALTH, INC.
Active
Organization
MID-DELTA HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA T. REED RN (CEO)
(662) 247-1254
Entity
Organization
Contact information
Practice address
405 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-1254
(662) 247-4924
Mailing address
405 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-1254
(662) 247-4924
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7488
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121587
—
MN
05
—
70543
—
MS
01
—
70619
BLUE CROSS
MS
05
—
770387
—
MS
05
—
770448
—
MS
Enumeration date
07/12/2006
Last updated
08/26/2011
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