NPI 1942559745

Indywood Estate, LLC

Organisation Assisted Living Facility Cleveland, MS

Practice location

Address: 218 Ronaldman Rd, Cleveland, MS 38732-8755
Phone: (662) 843-7885
Fax: (662) 843-7985
Mailing address: 1416 Erie St, Greenwood, MS 38930-2103

Authorised official

Name: Sharon Harvey
Title: Assistant Manager
Phone: (662) 455-3878

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 960 (MS)

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1942559745
Entity type: Organization
NPI issued: 7 Sep 2012
Record last updated: 7 Sep 2012

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.