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

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X960 (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.

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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.