Organization
NORTHCLIFF, ACLF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN DAVIS RN (FACILITY DIRECTOR, STAFF NURSE)
(731) 549-7290
Entity
Organization
Contact information
Practice address
14691 HIGHWAY 22 N, LEXINGTON, TN 38351-4825
(731) 249-5970
Mailing address
14691 HIGHWAY 22 N, LEXINGTON, TN 38351-4825
(731) 249-5970
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
ACL0000000369
TN
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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