Organization
DELTA SOUL MEDICAL HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZEYAD KASSEM CEO (OWNER)
(662) 843-0006
Entity
Organization
Contact information
Practice address
103 S COURT ST, SUITE 118, CLEVELAND, MS 38732-2651
(662) 843-0006
(662) 843-0002
Mailing address
103 ASHLEY ST STE 118, SUITE 118, CLEVELAND, MS 38732-2406
(662) 843-0006
(662) 843-0002
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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