NPI

Clc of Liberty, LLC

Doing business as Liberty Community Living Center. Phone (601) 657-1000 · Fax (601) 657-1008 · NPI 1912997685

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2005-10-25
Last updated
2008-01-28

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Specialties

Licenses

License MS
930

Location

Practice location
323 Industrial Park
City
Liberty MS
Postal code
39645-8069
Phone
(601) 657-1000
Fax
(601) 657-1008

Organization contact

Name
Douglas Wright
Title
Managing Member
Phone
(662) 680-3148

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Liberty, MS. 52 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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