NPI 1922816818

Canton Ms Operating 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: 710 Obrecht Rd, Sykesville, MD 21784-7650

Authorised official

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

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: 1922816818
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.