Clc of Pascagoula, LLC
NPI #1992795330 in Pascagoula, Mississippi
Provider Information
- NPI Number
- 1992795330
- Entity Type
- Organization
- Organization Name
- Clc of Pascagoula, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 26, 2005
- Last Updated
- Jan 28, 2008
Practice Location
- Address
- 4403 HOSPITAL RD
- City
- Pascagoula
- State
- Mississippi
- ZIP Code
- 39581-5335
- Phone
- (228) 762-8960
Authorized Official
- Name
- MR. DOUGLAS M. WRIGHT SR.
- Title
- MANAGING MEMBER
- Phone
- (662) 680-3148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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