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Cole Clark
NPI 1538556436 · on the registry since 2015 · sole proprietor
Practice
- Address
- 103 S Court St
103 South Street
Cleveland, MS 38732 - Phone
- (662) 719-8217
- Fax
- (662) 843-0002
- Organisation at this address
- Serenity Hospice
Delta Soul Medical Homecare
Delta Counseling Services Llc
M & J Angels Home Health Care
Delta Soul Medical Homecare, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Respite Care
385H00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-20
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi