Organization
CLC OF OCEAN SPRINGS, LLC
Active
Other names
Sunplex Subacute 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
6520 SUNSCOPE DR, OCEAN SPRINGS, MS 39564-8690
(228) 875-1177
(228) 875-1149
Mailing address
6520 SUNSCOPE DR, OCEAN SPRINGS, MS 39564-8690
(228) 875-1177
(228) 875-1149
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
798
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230180
—
MS
Enumeration date
10/26/2005
Last updated
01/28/2008
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