Organization
CARESTAY RESIDENTIAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONBRIANNA EVANS MSW (OWNER)
(901) 580-7875
Entity
Organization
Contact information
Practice address
329 43RD AVE, MERIDIAN, MS 39307-6848
(901) 580-7875
Mailing address
1218 CLIFFDALE DR, CLINTON, MS 39056-3406
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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