Cleveland Pch Residential Living, Llc

NPI 1023169158 - Assisted Living Facility - 310400000X

NPI Details
NPI 1023169158
Enumeration Date 01/16/2007
Last Updated 12/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MEGAN P MEGAN
Position EXECUTIVE DIRECTOR
Phone (662) 846-6160
Fax (662) 846-6164
Practice Location
800 THIRD STREET
CLEVELAND MS, 38732, US
Phone (662) 846-6160
Fax (662) 846-6164
Business Location
800 THIRD STREET
CLEVELAND MS, 38732, US
Phone (662) 846-6160
Fax (662) 846-6164
Toxanomy
Taxonomy Code 310400000X
License State Mississippi
License Number 978
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According to our database, Cleveland Pch Residential Living, Llc NPI is 1023169158, taxonomy code is 310400000X and license number is 978, license state is located at Mississippi. Cleveland Pch Residential Living, Llc physically located at 800 Third Street, Cleveland MS, 38732. NPI Number 1033115704 has the healthcare provider type.

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1023169158 NPI number is provided on an as is basis without warranty of any kind. 1023169158 is maintained by the National Plan & Provider Enumeration System. The contents of Cleveland Pch Residential Living, Llc are for informational purposes only.