Clc of Dyersburg, LLC

NPI #1508856295 in Dyersburg, Tennessee

Provider Information

NPI Number
1508856295
Entity Type
Organization
Organization Name
Clc of Dyersburg, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 25, 2005
Last Updated
Jan 28, 2008

Practice Location

Address
1636 WOODLAWN AVE
ZIP Code
38024-2026
Phone
(731) 285-6400

Authorized Official

Name
MR. DOUGLAS M. WRIGHT JR.
Title
MANAGING MEMBER
Phone
(662) 680-3148

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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