Organization
MCCLOUD INC
Active
Other names
The Ole Homeplace Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE RENA MCCLOUD R.N. (ADMINSTRATOR)
(859) 537-4579
Entity
Organization
Contact information
Practice address
306 CAMPBELLSVILLE ST, COLUMBIA, KY 42728-1217
(270) 384-0560
(270) 384-0560
Mailing address
113 CAMPBELLSVILLE ST, COLUMBIA, KY 42728-1434
(270) 384-0148
(270) 384-0148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
750172
KY
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43000231
—
KY
Enumeration date
03/21/2007
Last updated
09/16/2015
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