340 Desoto Avenue Ext Operations, LLC
340 Desoto Avenue Ext Operations, LLC is a Skilled Nursing Facility in Clarksdale, Mississippi. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
340 Desoto Avenue ExtClarksdale, MS 38614-2814
Phone: (253) 278-2258
Fax: (662) 627-5654
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1932856531 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tim Lehner — Managher · (770) 698-9040 |
| Other names | Greenbough Health And Rehabilitation Center; Greenbough Health And Rehabilitation Center |
| NPI enumerated | March 4, 2022 |
| Last updated in NPPES | September 13, 2024 |
| Certification date | September 13, 2024 |
| Mailing address | 340 Desoto Avenue Ext, Clarksdale, MS 38614-2814 |
Other providers in Clarksdale
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Care Givers, LLC
1120 Ritchie Ave, Clarksdale, MS 38614-7535 · (662) 627-2591
-
MS Greenbough LLC
340 Desoto Avenue Ext, Clarksdale, MS 38614-2814 · (662) 627-3486
-
Pensacola Health Trust Inc
340 Desoto Avenue Ext, Clarksdale, MS 38614-2814 · (662) 627-3486