Provider Demographics
NPI:1922859594
Name:VEOLA'S PLACE
Entity Type:Organization
Organization Name:VEOLA'S PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-822-5407
Mailing Address - Street 1:224 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-2131
Mailing Address - Country:US
Mailing Address - Phone:662-822-5407
Mailing Address - Fax:
Practice Address - Street 1:224 NORTH AVE
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:MS
Practice Address - Zip Code:38751-2131
Practice Address - Country:US
Practice Address - Phone:662-822-5407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility