Organization · Type 2 NPI

CLC of Dyersburg, LLC

Skilled Nursing Facility · Dyersburg, TN

NPI number 1508856295 Active

Practice location

1636 Woodlawn Ave
Dyersburg, TN 38024-2026

Fax (731) 285-9017

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0000000075 (TN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1508856295

CLC of Dyersburg, LLC's National Provider Identifier is 1508856295, issued on Oct 25, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Dyersburg, TN. The record was last updated on Jan 28, 2008.