West Point Community Living Center

LBN: Clc Of West Point, Llc
West Point Community Living Center is an health care organization with primary practice located at 2056 N Eshman Ave , West Point MS 39773-5415. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clc Of West Point, Llc can be contacted via phone (662) 494-6011, or through Wright, Douglas M. via phone (662) 680-3148.

Contact Information

Primary practice address
2056 N Eshman Ave West Point MS 39773-5415
Phone: (662) 494-6011
Fax: (662) 494-6926
Website:
Map and Directions
Authorized official contact:
Name: Wright, Douglas M.
Phone: (662) 680-3148

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 625 Mississippi

Profile Details

NPI number 1093705527
LBN Legal business name Clc Of West Point, Llc
DBA Doing business as West Point Community Living Center
Authorized official Wright, Douglas M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Sep 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093705527 NPPES
Mississippi MEDICAID 0230177

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