institution
Mid-delta Home Health Of Charleston, Inc.
Home Health Agency in Clarksdale, Mississippi
NPI 1457376360

Mid-delta Home Health Of Charleston, Inc. is a Home Health Agency based in Belzoni, MS. Mid-delta Home Health Of Charleston, Inc. practices in Clarksdale, MS. The NPI Number for Mid-delta Home Health Of Charleston, Inc. is 1457376360 and holds a License No. 7588 (Mississippi).

The current practice location address for Mid-delta Home Health Of Charleston, Inc. is 617 N State St, Clarksdale, MS and can be reached out via phone at 662-624-4910 and via fax at 662-247-4924. You can also correspond with Mid-delta Home Health Of Charleston, Inc. through the mailing address at PO BOX 373, BELZONI, MS - 39038-0373 (mailing address contact number: 662-247-1254).

Location: 617 N State St, Clarksdale, MS, 39038-0373
institution
Provider Profile Details
NPI Number
1457376360
Provider Name
Mid-delta Home Health Of Charleston, Inc.
Credential
Provider Entity Type
Organization
Address
617 N State St, Clarksdale, MS, 39038-0373
Phone Number
662-624-4910
Fax Number
662-247-4924
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70507 05 MS
70645 01 MS BLUE CROSS
770448 05 MS
770387 05 MS
121587 05 MS
640718392A 01 MS DME
institution
Provider Business Practice Location Address Details
Address
617 N State St
City
State
Zip
38614-6517
Phone Number
662-624-4910
Fax Number
662-247-4924
person
Provider Business Mailing Address Details
Address
Po Box 373
City
State
Zip
39038-0373
Phone Number
662-247-1254
Fax Number
662-247-4924
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
7588 (Mississippi)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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