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

Cole Clark

Individual provider Respite Care · NPI 1538556436

Cole Clark is a Respite Care in Cleveland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015
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Practice location Address checks out

103 S Court St 103 South St
Cleveland, MS 38732-2651
Phone: (662) 719-8217
Fax: (662) 843-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Respite Care (primary) Taxonomy 385H00000X (MS)

Record details

NPI number1538556436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESApril 20, 2015
Mailing addressPo Box 264, 103 South Street, Cleveland, MS 38732-0264

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