Clc Of Vaiden, Llc in Vaiden - Skilled Nursing Facility
Clc Of Vaiden, Llc - NPI 1144210394
Clc Of Vaiden, Llc is a Skilled Nursing Facility in Vaiden, Mississippi. Clc Of Vaiden, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Clc Of Vaiden, Llc is 1144210394. The last update date is 2008-01-15.
Clc Of Vaiden, Llc's current location address is 868 Mulberry St, Vaiden, Mississippi. You can contact this provider via phone number 6624647714 and fax number 6624647741. The mailing address for Clc Of Vaiden, Llc is 868 Mulberry St, Vaiden, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clc Of Vaiden, Llc |
|---|---|
| Address | 868 Mulberry St, Vaiden, Mississippi |
| Phone Number | 6624647714 |
| Fax Number | 6624647741 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Wright M. Douglas |
| Telephone Number | 6626803148 |
NPI Number Detail
| NPI Number | 1144210394 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2008-01-15 |
Provider Mailing Address Detail
| Address | 868 Mulberry St |
|---|---|
| City | Vaiden |
| State | Mississippi (MS) |
| Post Code | 391765385 |
| Phone Number | 6624647714 |
| Fax Number | 6624647741 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 947 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230151 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clc Of Vaiden, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Clc Of Vaiden, Llc has been assigned the NPI (National Provider Identifier) 1144210394. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Clc Of Vaiden, Llc's facilities are situated?
The facilities of Clc Of Vaiden, Llc are physically located at the following address: 868 Mulberry St, Vaiden, MS, 391765385.
What is Clc Of Vaiden, Llc's area of expertise and its corresponding taxonomy classification?
The Clc Of Vaiden, Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Clc Of Vaiden, Llc receive the assignment of its 1144210394 from the Centers for Medicare & Medicaid Services?
The Clc Of Vaiden, Llc was issued its 1144210394 by the Centers for Medicare & Medicaid Services on 2005-10-27.
When was the information regarding Clc Of Vaiden, Llc most recently updated?
The details pertaining to the Clc Of Vaiden, Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-01-15.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA