NPI 1023169158

Cleveland Pch Residential Living, LLC

Organisation Assisted Living Facility Cleveland, MS

Practice location

Address: 800 Third Street, Cleveland, MS 38732
Phone: (662) 846-6160
Fax: (662) 846-6164

Authorised official

Name: Megan P Young
Title: Executive Director
Phone: (662) 846-6160

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 978 (MS)

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1023169158
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 26 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.