# CLARKSVILLE OPERATING GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427583004
- **Authorized official:** ANSHEL NIEDERMAN (MANAGER)
- **Authorized official phone:** (917) 682-3129

## Contact information

- **Practice address:** 111 USSERY RD, CLARKSVILLE, TN 37043-4530
- **Practice address phone:** (931) 647-0269
- **Mailing address:** 544 PARK AVE, STE B04, BROOKLYN, NY 11205-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 04/20/2017