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Clarksdale Ms Opco Llc
Intellectual Disabilities Intermediate Care Facility in Clarksdale, Mississippi
NPI 1043952526

Clarksdale Ms Opco Llc is a Intellectual Disabilities Intermediate Care Facility based in Englewood Cliffs, MS. Clarksdale Ms Opco Llc practices in Clarksdale, MS. The NPI Number for Clarksdale Ms Opco Llc is 1043952526 and holds a License No. (Mississippi).

The current practice location address for Clarksdale Ms Opco Llc is 701 Highway 322, Clarksdale, MS and can be reached out via phone at 662-627-2212. You can also correspond with Clarksdale Ms Opco Llc through the mailing address at 980 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ - 07632-3301 (mailing address contact number: 201-928-7800).

Location: 701 Highway 322, Clarksdale, MS, 07632-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043952526
Provider Name
Clarksdale Ms Opco Llc
Credential
Provider Entity Type
Organization
Address
701 Highway 322, Clarksdale, MS, 07632-3301
Phone Number
662-627-2212
Fax Number
Provider Enumeration Date
04/13/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
701 Highway 322
City
Clarksdale
State
Mississippi
Zip
38614-4722
Phone Number
662-627-2212
Fax Number
person
Provider Business Mailing Address Details
Address
980 Sylvan Ave
City
Englewood Cliffs
State
New Jersey
Zip
07632-3301
Phone Number
201-928-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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Intellectual Disabilities Intermediate Care Facility
701 Highway 322,
CLARKSDALE, MS
38614-4722
662-627-2212
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