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Canton Ms Opco Llc
Intellectual Disabilities Intermediate Care Facility in Canton, Mississippi
NPI 1881336352

Canton Ms Opco Llc is a Intellectual Disabilities Intermediate Care Facility based in Englewood Cliffs, MS. Canton Ms Opco Llc practices in Canton, MS. The NPI Number for Canton Ms Opco Llc is 1881336352 and holds a License No. (Mississippi).

The current practice location address for Canton Ms Opco Llc is 1145 Tisdale Ave, Canton, MS and can be reached out via phone at 601-859-6712.

Location: 1145 Tisdale Ave, Canton, MS, 07632-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881336352
Provider Name
Canton Ms Opco Llc
Credential
Provider Entity Type
Organization
Address
1145 Tisdale Ave, Canton, MS, 07632-3301
Phone Number
601-859-6712
Fax Number
Provider Enumeration Date
04/13/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1145 Tisdale Ave
City
Canton
State
Mississippi
Zip
39046-4965
Phone Number
601-859-6712
Fax Number
person
Provider Business Mailing Address Details
Address
1145 Tisdale Ave
City
Canton
State
Mississippi
Zip
39046-4965
Phone Number
601-859-6712
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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