NPI 1912715806

Clarksdale Ms Operating LLC

Organisation Mental Illness Intermediate Care Facility Clarksdale, MS

Practice location

Address: 701 Highway 322, Clarksdale, MS 38614-4722
Phone: (662) 627-2212
Mailing address: 710 Obrecht Rd, Sykesville, MD 21784-7650

Authorised official

Name: Moishe Mayer
Title: Authorized Signatory
Phone: (718) 614-8341

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Mississippi →

Registry record

NPI: 1912715806
Entity type: Organization
NPI issued: 23 Dec 2024
Record last updated: 23 Dec 2024

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.