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Contact Information

CLC OF HARRIMAN, LLC
257 PATTON LN
HARRIMAN, TN37748-8618
 Phone: 865-354-3941
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CLC OF HARRIMAN, LLC

NPI # 1235676156
LBN Legal business name CLC OF HARRIMAN, LLC
Authorized official DOUGLAS WRIGHT - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2017
Last updated 05/26/2017 - About 9 years ago
Identifiers
TN License # 212
TN Medicaid Q027302
TN Medicaid Q027303
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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