DELTA SOUL MEDICAL, LLC; NPI #1386956027

Contact Information

DELTA SOUL MEDICAL, LLC

102 N. PEARMAN AVE.
STE. 1
CLEVELAND, MS 38732

Phone: 662-843-0006
Fax: 662-843-0002
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for DELTA SOUL MEDICAL, LLC

NPI Number	`1386956027`
LBN Legal business name	DELTA SOUL MEDICAL, LLC
Authorized official	ZEYAD KASSEM - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/10/2010
Last updated	07/10/2010 - About 16 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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