OrganizationActive
Clc of Fulton, LLC
NPI 1912997651 · Skilled Nursing Facility · Fulton, MS
Provider details
- NPI number
- 1912997651
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Wright, Managing Member(662) 680-3148
- License
- 768 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
907 E Walker St
Fulton, MS 38843-8954
Phone: (662) 862-6140
Fax: (662) 862-6143
Street-level locationGet directions
Mailing address
Po Box 69
Fulton, MS 38843-0069
Other names (DBA / former)
- Doing business as
- Courtyards Community Living Center
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.