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Cleveland Pch Residential Living, Llc
Assisted Living Facility in Cleveland, Mississippi
NPI 1023169158

Cleveland Pch Residential Living, Llc is an Assisted Living Facility based in Cleveland, MS. Cleveland Pch Residential Living, Llc practices in Cleveland, MS. The NPI Number for Cleveland Pch Residential Living, Llc is 1023169158 and holds a License No. 978 (Mississippi).

The current practice location address for Cleveland Pch Residential Living, Llc is 800 Third Street, Cleveland, MS and can be reached out via phone at 662-846-6160 and via fax at 662-846-6164.

Location: 800 Third Street, Cleveland, MS, 38732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023169158
Provider Name
Cleveland Pch Residential Living, Llc
Credential
Provider Entity Type
Organization
Address
800 Third Street, Cleveland, MS, 38732
Phone Number
662-846-6160
Fax Number
662-846-6164
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
08073094 05 MS
institution
Provider Business Practice Location Address Details
Address
800 Third Street
City
Cleveland
State
Mississippi
Zip
38732
Phone Number
662-846-6160
Fax Number
662-846-6164
person
Provider Business Mailing Address Details
Address
800 Third Street
City
Cleveland
State
Mississippi
Zip
38732
Phone Number
662-846-6160
Fax Number
662-846-6164
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
978 (Mississippi)
Definition
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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