Clc Of Jackson, Llc in Jackson - Skilled Nursing Facility
Clc Of Jackson, Llc - NPI 1689664765
Clc Of Jackson, Llc is a Skilled Nursing Facility in Jackson, Mississippi. Clc Of Jackson, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Clc Of Jackson, Llc is 1689664765. The last update date is 2020-08-22.
Clc Of Jackson, Llc's current location address is 1600 Raymond Rd, Jackson, Mississippi. You can contact this provider via phone number 6013711700 and fax number 6013711006. The mailing address for Clc Of Jackson, Llc is 1600 Raymond Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clc Of Jackson, Llc |
|---|---|
| Address | 1600 Raymond Rd, Jackson, Mississippi |
| Phone Number | 6013711700 |
| Fax Number | 6013711006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Wright M. Douglas |
| Telephone Number | 6626803148 |
NPI Number Detail
| NPI Number | 1689664765 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1600 Raymond Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392044203 |
| Phone Number | 6013711700 |
| Fax Number | 6013711006 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 612 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230178 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clc Of Jackson, Llc by the Centers for Medicare & Medicaid Services?
The Clc Of Jackson, Llc has been assigned the NPI (National Provider Identifier) 1689664765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Clc Of Jackson, Llc?
The Clc Of Jackson, Llc is situated at 1600 Raymond Rd, in the city of Jackson, state of MS, with the zip code 392044203.
What is Clc Of Jackson, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clc Of Jackson, Llc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
When was the Clc Of Jackson, Llc's 1689664765 issued?
The Clc Of Jackson, Llc's 1689664765 was issued on 2005-10-28.
As of what date was the information regarding Clc Of Jackson, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clc Of Jackson, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.