NPI 1801538376
Brookhaven Ms Opco LLC
Practice location
- Address
- 524 Brookman Dr, Brookhaven, MS 39601-2384
- Phone
- (601) 835-1884
- 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
- 1801538376
- 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.