NPI 1043952526
Clarksdale Ms Opco LLC
Practice location
- Address
- 701 Highway 322, Clarksdale, MS 38614-4722
- Phone
- (662) 627-2212
- Mailing address
- 980 Sylvan Ave, Englewood Cliffs, NJ 07632-3301
Authorised official
- Name
- Batya Gorelick
- Title
- Coo
- Phone
- (201) 928-7800
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1043952526
- Entity type
- Organization
- NPI issued
- 13 Apr 2022
- Record last updated
- 13 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.