Organization
CLARKSDALE MS OPERATING LLC
Active
Other names
Delta Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MOISHE MAYER (AUTHORIZED SIGNATORY)
(718) 614-8341
Entity
Organization
Contact information
Practice address
701 HIGHWAY 322, CLARKSDALE, MS 38614-4722
(662) 627-2212
Mailing address
710 OBRECHT RD, SYKESVILLE, MD 21784-7650
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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