Organization · Type 2 NPI

340 Desoto Avenue Ext Operations, LLC

Skilled Nursing Facility · Clarksdale, MS

NPI number 1932856531 Active

Practice location

340 Desoto Avenue Ext
Clarksdale, MS 38614-2814

Fax (662) 627-5654

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1932856531

340 Desoto Avenue Ext Operations, LLC's National Provider Identifier is 1932856531, issued on Mar 4, 2022. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Clarksdale, MS. The record was last updated on Sep 23, 2026.