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Canton Ms Operating LLC — NPI 1922816818, Canton, MS | NPI Central

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NPI 1922816818

OrganizationActive

Canton Ms Operating LLC

NPI 1922816818 · Intellectual Disabilities Intermediate Care Facility · Canton, MS

Provider details

NPI number: 1922816818
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Moishe Mayer, Authorized Signatory(718) 614-8341

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

1145 Tisdale Ave

Canton, MS 39046-4965

Phone: (601) 859-6712

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

710 Obrecht Rd

Sykesville, MD 21784-7650

Other names (DBA / former)

Doing business as: Madison Court

Registry dates

Enumerated: 2024-12-23
Last updated: 2024-12-23
Certified: 2024-12-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.