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Organization
CLARKSVILLE OPERATING GROUP LLC
Active
Organization
CLARKSVILLE OPERATING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSHEL NIEDERMAN (MANAGER)
(917) 682-3129
Entity
Organization
Contact information
Practice address
111 USSERY RD, CLARKSVILLE, TN 37043-4530
(931) 647-0269
Mailing address
544 PARK AVE, STE B04, BROOKLYN, NY 11205-1600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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