Organization
WEST CLEVELAND ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVENSON UNDAE PRESCOTT J.D. (OPERATOR)
(662) 347-1122
Entity
Organization
Contact information
Practice address
1210 W HIGHWAY 8, CLEVELAND, MS 38732-2263
(662) 347-1122
(662) 545-4695
Mailing address
314 OLD RULEVILLE RD, CLEVELAND, MS 38732
(662) 347-1122
(662) 545-4695
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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