Cleveland Pch Residential Living, LLC
NPI #1023169158 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1023169158
- Entity Type
- Organization
- Organization Name
- Cleveland Pch Residential Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Dec 26, 2007
Practice Location
- Address
- 800 THIRD STREET
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38732
- Phone
- (662) 846-6160
Authorized Official
- Name
- MRS. MEGAN P YOUNG
- Title
- EXECUTIVE DIRECTOR
- Phone
- (662) 846-6160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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