Organization
DELTA SOUL MEDICAL HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZEYAD KASSEM (CEO)
(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
PO BOX 718, CLEVELAND, MS 38732-0718
(662) 843-0006
(662) 843-0002
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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