Canton Ms Opco LLC
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Canton, MS
NPI 1881336352 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1881336352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- CANTON MS OPCO LLC
- Practice address
- 1145 Tisdale Ave
Canton, MS 39046-4965 - Phone
- (601) 859-6712
- NPI assigned
- Apr 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Batya Gorelick
- Title
- Coo
- Phone
- (201) 928-7800
Practitioners 1
-
L C Tennin Jr., MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
1145 Tisdale Ave
Canton, MS 39046-4965
Mailing address
980 Sylvan Ave
Englewood Cliffs, NJ 07632-3301
Phone (201) 928-7800
Other providers in Canton, MS
- Canton Communitydentalclinicllc
- Canton Discount Drugs Inc
- Canton Discount Drugs LTC
- Canton Discount Drugs, Inc.
- Canton Family Clinic Inc.
- Canton Ms Operating LLC
- Canton Primary Care Clinic
- Canton Public School District
- Canton Vision Clinic, P.a.
- Cantons Physician Group
All providers in Canton, 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.