NPI 1881336352

Canton Ms Opco LLC

Organisation Intellectual Disabilities Intermediate Care Facility Canton, MS

Practice location

Address: 1145 Tisdale Ave, Canton, MS 39046-4965
Phone: (601) 859-6712
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

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Mississippi →

Registry record

NPI: 1881336352
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.