Organization · Type 2 NPI

Canton MS Opco LLC

Intellectual Disabilities Intermediate Care Facility · Canton, MS

NPI number 1881336352 Active

Practice location

1145 Tisdale Ave
Canton, MS 39046-4965

Mailing address

980 Sylvan Ave
Englewood Cliffs, NJ 07632-3301

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

2 other providers at this address

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About NPI 1881336352

Canton MS Opco LLC's National Provider Identifier is 1881336352, issued on Apr 13, 2022. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Canton, MS. The record was last updated on Apr 13, 2022.