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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