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NPI Code Detail

MEDICARE: CLR HEALTHCARE OPERATIONS, LLC

MEDICARE: CLR HEALTHCARE OPERATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1487178794
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLR HEALTHCARE OPERATIONS, LLC
Provider Business Mailing Address
First Line : PO BOX 8248
Second Line :
City : SEARCY
State : AR
Zip : 72145-8248
Country : US
Telephone Number : 501-412-5961
Fax Number :
Provider Business Practice Location Address
First Line : 3115 S BOWMAN RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4623
Country : US
Telephone Number : 501-228-4848
Fax Number : 501-224-5950
Authorized Official
Title or Position : PRESIDENT
Name : JOEY WIGGINS
Credential :
Telephone Number : 501-412-5961
Provider Enumeration Date : 07/28/2017
Last Update Date : 05/14/2020

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Directions to “CLR HEALTHCARE OPERATIONS, LLC ” Practice Location

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