Organization
CLC OF BILOXI, LLC
Active
Other names
The Pillars of Biloxi
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
2279 ATKINSON RD, BILOXI, MS 39531-2209
(228) 388-1805
(228) 388-9617
Mailing address
2279 ATKINSON RD, BILOXI, MS 39531-2209
(228) 388-1805
(228) 388-9617
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
462
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230182
—
MS
Enumeration date
10/24/2005
Last updated
06/13/2016
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