Canton Ms Opco LLC

NPI #1881336352 in Canton, Mississippi

Provider Information

NPI Number
1881336352
Entity Type
Organization
Organization Name
Canton Ms Opco LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 13, 2022
Last Updated
Apr 13, 2022

Practice Location

Address
1145 TISDALE AVE
City
Canton
ZIP Code
39046-4965
Phone
(601) 859-6712

Authorized Official

Name
BATYA GORELICK
Title
COO
Phone
(201) 928-7800

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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