Organization
DELTA SOUL MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZEYAD KAMEL KASSEM (CEO)
(248) 830-4662
Entity
Organization
Contact information
Practice address
102 N. PEARMAN AVE., STE. 1, CLEVELAND, MS 38732
(662) 843-0006
(662) 843-0002
Mailing address
311 N BERKSHIRE RD, BLOOMFIELD HILLS, MI 48302-0401
(248) 830-4662
(248) 322-9972
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MS
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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