NPI 1942018833
Brookhaven Ms Operating LLC
Practice location
- Address
- 524 Brookman Dr, Brookhaven, MS 39601-2384
- Phone
- (601) 835-1884
- 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
Registry record
- NPI
- 1942018833
- 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.