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CLARKSDALE MS OPCO LLC

Intermediate Care Facility, Mentally Retarded

(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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Contact Information

CLARKSDALE MS OPCO LLC
701 HIGHWAY 322
CLARKSDALE, MS  38614-4722
 Phone: 662-627-2212
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

 315P00000X
Indicates primary specialty

NPI Profile & details for CLARKSDALE MS OPCO LLC

NPI Number 1043952526
LBN Legal business name CLARKSDALE MS OPCO LLC
Authorized official BATYA GORELICK - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2022
Last updated 04/13/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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