| NPI | 1124021720 |
|---|---|
| Doing Business As | CLAY HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206008302) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA 0206008302) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2025-10-14 |