Clinic Leasing Co., LLC
Skilled Nursing Facility in Ivydale, WV. Organization (NPI-2).
NPI number1104530682
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1104530682
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinic Leasing Co., LLC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2023
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Clay Healthcare Center (Doing Business As)
Practice location
1053 Clinic DrIvydale, WV 25113-8266
Phone 304-286-4204
Mailing address
10123 Alliance RdBlue Ash, OH 45242-4887
Phone 513-530-1808
Authorized official
Charles Stoltz
Treasurer
5135301808
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