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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLC OF JACKSON, LLC

Active Organization

CLC OF JACKSON, LLC is a Skilled Nursing Facility organization located in JACKSON, Mississippi. NPI 1689664765 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · JACKSON, MS

Registration Details

NPI Number
1689664765
Provider Type
Organization
NPI Issued
Oct 28, 2005 (20.765184112325 yrs)
Last Updated
Aug 22, 2020
License
612 (MS)

Practice Information

Address
1600 RAYMOND RD
JACKSON, MS, 392044203
Browse MS providers · Browse ZIP 39204
Phone
6013711700
Fax
6013711006
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.