Brookhaven Ms Opco LLC
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Brookhaven, MS
NPI 1801538376 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1801538376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- BROOKHAVEN MS OPCO LLC
- Practice address
- 524 Brookman Dr
Brookhaven, MS 39601-2384 - Phone
- (601) 835-1884
- NPI assigned
- Apr 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Batya Gorelick
- Title
- Coo
- Phone
- (201) 928-7800
Practitioners 1
-
Glenn Zeidman, DO
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
524 Brookman Dr
Brookhaven, MS 39601-2384
Mailing address
980 Sylvan Ave
Englewood Cliffs, NJ 07632-3301
Phone (201) 928-7800
Other providers in Brookhaven, MS
- Brookhaven Children'S Clinic
- Brookhaven Crisis Center
- Brookhaven Diabetes and Primary Care Clinic
- Brookhaven Ear, Nose & Throat PA
- Brookhaven Internal Medicine, P.a.
- Brookhaven Ms Operating LLC
- Brookhaven OB-GYN Associates, PA
- Brookhaven Optical Inc
- Brookhaven Psychological Associates
- Brookhaven Radiology PLLC
All providers in Brookhaven, MS · Intellectual Disabilities Intermediate Care Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.