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Organization

CLC OF MANCHESTER, LLC

Active
Other names
Manchester 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
30 POWERS BRIDGE RD, MANCHESTER, TN 37355-2806
(931) 728-7549
(931) 728-4608
Mailing address
30 POWERS BRIDGE RD, MANCHESTER, TN 37355-2806
(931) 728-7549
(931) 728-4608

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000032
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
744-0232
TN
Enumeration date
10/25/2005
Last updated
02/28/2008
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