Indywood Estate, Llc

LBN: Indywood Estate, Llc
Indywood Estate, Llc is an health care organization with primary practice located at 218 Ronaldman Rd , Cleveland MS 38732-8755. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Indywood Estate, Llc can be contacted via phone (662) 843-7885, or through Harvey, Sharon via phone (662) 455-3878.

Contact Information

Primary practice address
218 Ronaldman Rd Cleveland MS 38732-8755
Phone: (662) 843-7885
Fax: (662) 843-7985
Website:
Map and Directions
Authorized official contact:
Name: Harvey, Sharon
Phone: (662) 455-3878

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 960 Mississippi

Profile Details

NPI number 1942559745
LBN Legal business name Indywood Estate, Llc
DBA Doing business as
Authorized official Harvey, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2012
Last updated Sep 7th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942559745 NPPES
Mississippi MEDICAID 00037512

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