Organization
CLIFTON STREET ASSISTED LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA G. SPENCER (OWNER)
(601) 949-2713
Entity
Organization
Contact information
Practice address
438 S CLIFTON ST, JACKSON, MS 39203-3605
(601) 949-2713
Mailing address
438 S CLIFTON ST, JACKSON, MS 39203-3605
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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