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Organization
CLAY HOME MEDICAL INC
Active
Organization
CLAY HOME MEDICAL INC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Other names
Clay Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
MR. STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
3333 S CRATER RD STE 5, PETERSBURG, VA 23805
(804) 861-1606
(804) 862-1254
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 206-0040
(407) 206-0010
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009103341
—
VA
01
—
ANTHEM BC/BS
DME PROVIDER
VA
Enumeration date
07/20/2005
Last updated
06/08/2020
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