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Clc Of Booneville, Llc
Skilled Nursing Facility in Booneville, Mississippi
NPI 1447240122

Clc Of Booneville, Llc is a Skilled Nursing Facility based in Booneville, MS. Clc Of Booneville, Llc practices in Booneville, MS. The NPI Number for Clc Of Booneville, Llc is 1447240122 and holds a License No. 155 (Mississippi).

The current practice location address for Clc Of Booneville, Llc is 200 Long St, Booneville, MS and can be reached out via phone at 662-728-6234 and via fax at 662-728-6944.

Location: 200 Long St, Booneville, MS, 38829-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447240122
Provider Name
Clc Of Booneville, Llc
Credential
Provider Entity Type
Organization
Address
200 Long St, Booneville, MS, 38829-4306
Phone Number
662-728-6234
Fax Number
662-728-6944
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0230175 05 MS
institution
Provider Business Practice Location Address Details
Address
200 Long St
City
Booneville
State
Mississippi
Zip
38829-4306
Phone Number
662-728-6234
Fax Number
662-728-6944
person
Provider Business Mailing Address Details
Address
200 Long St
City
Booneville
State
Mississippi
Zip
38829-4306
Phone Number
662-728-6234
Fax Number
662-728-6944
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
155 (Mississippi)
Definition
(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.
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