OrganizationActive
Indywood LLC
NPI 1205908670 · Assisted Living Facility · Indianola, MS
Provider details
- NPI number
- 1205908670
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Eleta Grimmett, Owner(662) 534-2387
- License
- 838 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
541 Dorsett Dr
Indianola, MS 38751-2386
Phone: (662) 887-3005
Approximate (ZIP-level) locationGet directions
Mailing address
541 Dorsett Dr
Indianola, MS 38751-2386
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2009-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.