Brookhaven Ms Operating LLC
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Brookhaven, MS
NPI 1942018833 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1942018833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- BROOKHAVEN MS OPERATING LLC
- Practice address
- 524 Brookman Dr
Brookhaven, MS 39601-2384 - Phone
- (601) 835-1884
- NPI assigned
- Dec 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Moishe Mayer
- Title
- Authorized Signatory
- Phone
- (718) 614-8341
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
710 Obrecht Rd
Sykesville, MD 21784-7650
Other names
- Lincoln Residential Center
Other providers in Brookhaven, MS
- Brookhaven Crisis Center
- Brookhaven Diabetes and Primary Care Clinic
- Brookhaven Ear, Nose & Throat PA
- Brookhaven Internal Medicine, P.a.
- Brookhaven Ms Opco LLC
- Brookhaven OB-GYN Associates, PA
- Brookhaven Optical Inc
- Brookhaven Psychological Associates
- Brookhaven Radiology PLLC
- Brookhaven Smile Center, Inc
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 Dec 23, 2024. 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.