OrganizationActive
Brookhaven Ms Operating LLC
NPI 1942018833 · Intellectual Disabilities Intermediate Care Facility · Brookhaven, MS
Provider details
- NPI number
- 1942018833
- 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
Nursing & Custodial Care Facilities
Practice location
524 Brookman Dr
Brookhaven, MS 39601-2384
Phone: (601) 835-1884
Approximate (ZIP-level) locationGet directions
Mailing address
710 Obrecht Rd
Sykesville, MD 21784-7650
Other names (DBA / former)
- Doing business as
- Lincoln Residential Center
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.