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NPI Code Detail

MEDICARE: CLAY'S CHRISTIAN CARE AND STAFFING LLC

MEDICARE: CLAY'S CHRISTIAN CARE AND STAFFING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1851415939
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLAY'S CHRISTIAN CARE AND STAFFING LLC
Provider Business Mailing Address
First Line : 1254 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44483-6606
Country : US
Telephone Number : 330-442-5372
Fax Number :
Provider Business Practice Location Address
First Line : 1254 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44483-6606
Country : US
Telephone Number : 330-442-5372
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. NELLIE MARIE CLAY
Credential : RN
Telephone Number : 330-442-5372
Provider Enumeration Date : 03/16/2007
Last Update Date : 08/22/2020

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Directions to “CLAY'S CHRISTIAN CARE AND STAFFING LLC ” Practice Location

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