COLE CLARK

CLEVELAND, MS
NPI1538556436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385H00000X Respite Care
Enumeration Date2015-04-20
Last Update Date2015-04-20
Business Address
-- COLE CLARK
103 S COURT ST 103 SOUTH STREET
CLEVELAND, MS 38732-2651
Phone number: 662-719-8217
Mailing Address
-- COLE CLARK
PO BOX 264 103 SOUTH STREET
CLEVELAND, MS 38732-0264
Phone number: 662-719-8217