Provider Demographics
NPI:1487178794
Name:CLR HEALTHCARE OPERATIONS, LLC
Entity Type:Organization
Organization Name:CLR HEALTHCARE OPERATIONS, LLC
Other - Org Name:ALLAY HEALTH AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-412-5961
Mailing Address - Street 1:PO BOX 8248
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145-8248
Mailing Address - Country:US
Mailing Address - Phone:501-412-5961
Mailing Address - Fax:
Practice Address - Street 1:3115 S BOWMAN RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4623
Practice Address - Country:US
Practice Address - Phone:501-228-4848
Practice Address - Fax:501-224-5950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility