Organization · Type 2 NPI

CLC of Jackson, LLC

Skilled Nursing Facility · Jackson, MS

NPI number 1689664765 Active

Practice location

1600 Raymond Rd
Jackson, MS 39204-4203

Call (601) 371-1700 Map

Fax (601) 371-1006

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X612 (MS)

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 1689664765

CLC of Jackson, LLC's National Provider Identifier is 1689664765, issued on Oct 28, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jackson, MS. The record was last updated on Aug 22, 2020.