NPI 1386956027 · live from the CMS NPI Registry
Delta Soul Medical, LLC
Hospice Care, Community Based in Cleveland, MS. National Provider Identifier 1386956027, active.
NPI record
| NPI | 1386956027 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 |
| Practice phone | 662-843-0006 |
| Mailing address | 311 N Berkshire Rd, Bloomfield Hills, MI 48302 |
| Enumerated | July 10, 2010 |
| Last updated | July 10, 2010 |
| Authorized official | Zeyad Kassem, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.