# CLAY HEALTH CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619397494
- **Authorized official:** TAMMY JO PAINTER (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (304) 344-1623

## Contact information

- **Practice address:** 240 CAPITOL ST, SUITE 500, CHARLESTON, WV 25301-2221
- **Practice address phone:** (304) 344-1623
- **Practice address fax:** (304) 344-5853
- **Mailing address:** PO BOX 532, CHARLESTON, WV 25322-0532
- **Mailing address phone:** (304) 344-1623
- **Mailing address fax:** (304) 344-5853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 137 | WV | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 06/05/2014