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Organization

NORTH DELTA MEDICAL SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND E VALLIER (CEO/ADMINISTRATOR)
(662) 393-0170
Entity
Organization

Contact information

Practice address
520 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 393-0170
(662) 393-0171
Mailing address
520 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 393-0170
(662) 393-0171

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MS

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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