# DELTA KIDNEY ALLIANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942114368
- **Authorized official:** MRS. LEATHE GREENLEE (MANAGER)
- **Authorized official phone:** (662) 335-4105

## Contact information

- **Practice address:** 1502 S COLORADO ST, GREENVILLE, MS 38703-7219
- **Practice address phone:** (662) 335-4105
- **Practice address fax:** (662) 378-2879
- **Mailing address:** 1502 S COLORADO ST, GREENVILLE, MS 38703-7219
- **Mailing address phone:** (662) 335-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2026
- **Last updated:** 10/01/2026