OrganizationActive
Cleveland Pch Residential Living, LLC
NPI 1023169158 · Assisted Living Facility · Cleveland, MS
Provider details
- NPI number
- 1023169158
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Megan Young, Executive Director(662) 846-6160
- License
- 978 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
800 Third Street
Cleveland, MS 38732
Phone: (662) 846-6160
Fax: (662) 846-6164
Approximate (ZIP-level) locationGet directions
Mailing address
800 Third Street
Cleveland, MS 38732
Other names (DBA / former)
- Doing business as
- Cleveland Personal Care Community
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2007-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.