Organization · Type 2 NPI
Indywood Estate, LLC
Assisted Living Facility · Cleveland, MS
NPI number
1942559745
Active
Practice location
218 Ronaldman Rd
Cleveland, MS 38732-8755
Fax (662) 843-7985
Mailing address
1416 Erie St
Greenwood, MS 38930-2103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 960 (MS) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Cleveland
About NPI 1942559745
Indywood Estate, LLC's National Provider Identifier is 1942559745, issued on Sep 7, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Cleveland, MS. The record was last updated on Sep 7, 2012.