person
Cole Clark
Respite Care in Cleveland, Mississippi
NPI 1538556436

Cole Clark is a Respite Care based in Cleveland, MS. Cole Clark practices in Cleveland, MS. The NPI Number for Cole Clark is 1538556436 and holds a License No. (Mississippi).

The current practice location address for Cole Clark is 103 S Court St, Cleveland, MS and can be reached out via phone at 662-719-8217 and via fax at 662-843-0002. You can also correspond with Cole Clark through the mailing address at PO BOX 264, CLEVELAND, MS - 38732-0264 (mailing address contact number: 662-719-8217).

Location: 103 S Court St, Cleveland, MS, 38732-0264
person
Provider Profile Details
NPI Number
1538556436
Provider Name
Cole Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
103 S Court St, Cleveland, MS, 38732-0264
Phone Number
662-719-8217
Fax Number
662-843-0002
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 S Court St
City
State
Zip
38732-2651
Phone Number
662-719-8217
Fax Number
662-843-0002
person
Provider Business Mailing Address Details
Address
103 S Court St
City
State
Zip
38732-2651
Phone Number
662-719-8217
Fax Number
662-843-0002
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
(Mississippi)
Definition
Definition to come.
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