Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indywood Glen, LLC

Organization Assisted Living Facility · NPI 1225377534

Indywood Glen, LLC is an Assisted Living Facility in Greenwood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1416 Erie St
Greenwood, MS 38930-2103
Phone: (662) 455-3878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 927 (MS)

Record details

NPI number1225377534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Harvey — Acting Manager · (662) 455-3878
NPI enumeratedFebruary 6, 2013
Last updated in NPPESFebruary 6, 2013
Mailing address1416 Erie St, Greenwood, MS 38930-2103