Clarksdale Ms Opco LLC
NPI #1043952526 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1043952526
- Entity Type
- Organization
- Organization Name
- Clarksdale Ms Opco LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 13, 2022
- Last Updated
- Apr 13, 2022
Practice Location
- Address
- 701 HIGHWAY 322
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614-4722
- Phone
- (662) 627-2212
Authorized Official
- Name
- BATYA GORELICK
- Title
- COO
- Phone
- (201) 928-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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