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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLE CLARK

Active Sole Proprietor

COLE CLARK is a Respite Care healthcare provider located in CLEVELAND, Mississippi. NPI 1538556436 is currently active in the NPPES registry. Verify at CMS.

Respite Care · CLEVELAND, MS

Registration Details

NPI Number
1538556436
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2015 (11.323774370444 yrs)
Last Updated
Apr 20, 2015
Sole Proprietor
Yes

Practice Information

Address
103 S COURT ST
103 SOUTH STREET
CLEVELAND, MS, 387322651
Browse MS providers · Browse ZIP 38732
Phone
6627198217
Fax
6628430002
Primary Specialty
Respite Care
385H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.