The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1912997651 |
NPI Entity Type | Organization |
Provider Name |
Clc Of Fulton, Llc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 907 E Walker St, Fulton, MS, US |
Provider Mailing Address | Po Box 69, P.o. Box 69, Fulton, MS, US, 388430069 |
Is Sole Proprietor? | No |
Official Name | MR. Douglas M. Wright JR. |
Official Position | MANAGING MEMBER |
Phone | 662-680-3148 |
Taxonomy Code | |
Taxonomy Name | Skilled Nursing Facility |
Classification | |
Group | |
License No. | 768 |
License State | MS |
Description | (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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MISS MOT, OTR/L, SCLV Shirley Blanton Individual |
706 Highway 82 W |
||
DO Madison Leigh Lindgren Individual |
2500 N State St |
||
Optimum Occupational Therapy Services, Llc Organization |
706 Highway 82 W |
||
Jacqueline Cartwright Individual |
3171 Quartz Dr |
||
MSN, APRN, FNP-C Felisa Jeannette Hall Individual |
1046 Division St |
||
IDD WAIVER SERVICES Debbie Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Beverly Johnson Individual |
1406 Mississippi Dr |
||
CRISIS SERVICES Jaricia Kinchen Individual |
934 West Dr |
||
IDD WAIVER SERVICES Monolisa Keyes Individual |
1224 Hillcrest Dr |
||
IDD WAIVER SERVICES Felicia Keller Individual |
405 N First St |
||
IDD WAIVER SERVICES Sharika Jones Individual |
106 Mize St Apt 26 |
||
IDD WAIVER SERVICES Loverta Jones Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Tamekia Mckines Individual |
119 Chambliss Dr |
||
Mary Fowler Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Porosha Gaines Individual |
106 Mize St Apt 26 |
||
DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond Individual |
232 Market St |
||
IDD WAIVER SERVICES Fraxine Graves Individual |
1110 42nd Ave |
||
IDD WAIVER SERVICES Judy Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Michael Mcdonald Individual |
41 Bonhomie Rd |
||
IDD WAIVER SERVICES Pamela Mcandrews Individual |
106 Mize St Apt 26 |
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