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Organization
CLC OF LEXINGTON, LLC
Active
Organization
CLC OF LEXINGTON, LLC
Active
Other names
Briarwood Community Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS M. WRIGHT JR. (MANAGING MEMBER)
(662) 680-3148
Entity
Organization
Contact information
Practice address
41 HOSPITAL DR, LEXINGTON, TN 38351-1423
(731) 968-6629
(731) 967-0576
Mailing address
41 HOSPITAL DR, P.O. BOX 1067, LEXINGTON, TN 38351-1423
(731) 968-6629
(731) 967-0576
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744-0152
—
TN
Enumeration date
10/25/2005
Last updated
01/28/2008
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