Indywood Estate, LLC
NPI #1942559745 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1942559745
- Entity Type
- Organization
- Organization Name
- Indywood Estate, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 7, 2012
- Last Updated
- Sep 7, 2012
Practice Location
- Address
- 218 RONALDMAN RD
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38732-8755
- Phone
- (662) 843-7885
Authorized Official
- Name
- MS. SHARON HARVEY
- Title
- ASSISTANT MANAGER
- Phone
- (662) 455-3878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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