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Indywood Glen, Llc
Assisted Living Facility in Greenwood, Mississippi
NPI 1225377534

Indywood Glen, Llc is an Assisted Living Facility based in Greenwood, MS. Indywood Glen, Llc practices in Greenwood, MS. The NPI Number for Indywood Glen, Llc is 1225377534 and holds a License No. 927 (Mississippi).

The current practice location address for Indywood Glen, Llc is 1416 Erie St, Greenwood, MS and can be reached out via phone at 662-455-3878.

Location: 1416 Erie St, Greenwood, MS, 38930-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225377534
Provider Name
Indywood Glen, Llc
Credential
Provider Entity Type
Organization
Address
1416 Erie St, Greenwood, MS, 38930-2103
Phone Number
662-455-3878
Fax Number
Provider Enumeration Date
02/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03907712 05 MS
institution
Provider Business Practice Location Address Details
Address
1416 Erie St
City
Greenwood
State
Mississippi
Zip
38930-2103
Phone Number
662-455-3878
Fax Number
person
Provider Business Mailing Address Details
Address
1416 Erie St
City
Greenwood
State
Mississippi
Zip
38930-2103
Phone Number
662-455-3878
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
927 (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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