Organization
CLC OF DRESDEN, LLC
Active
Other names
Hillview 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
897 EVERGREEN ST, DRESDEN, TN 38225-2305
(731) 364-2450
(731) 364-5533
Mailing address
PO BOX 769, DRESDEN, TN 38225-0769
(731) 364-2450
(731) 364-5533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000280
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744-0095
—
TN
Enumeration date
10/25/2005
Last updated
01/28/2008
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