MID-DELTA HOME HEALTH OF CHARLESTON, INC. is a home health in Clarksdale, MS. The provider is 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. MID-DELTA HOME HEALTH OF CHARLESTON, INC. NPI is 1457376360. The provider is registered as an organization entity type.
The provider's business location address is:
617 N STATE ST
CLARKSDALE, MS
ZIP 38614-517
Phone: (662) 624-4910
Fax: (662) 247-4924
The provider's authorized official is Clara T. Reed .
The authorized official title is Ceo and has the following contact phone number (662) 247-1254.
The CLIA number assigned to this NPI record is 25D1047042 - hospice with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/12/2006 and was last updated on 5/8/2018.