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Organization

CLAY HOME MEDICAL INC

Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
AeroCare Home Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization

Contact information

Practice address
210 STEWART DR # 210, FRANKLIN, VA 23851-2456
(434) 348-0888
(434) 348-0988
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119198
ANTHEM/BC/BS DME
VA
05
9103341
VA
Enumeration date
07/20/2005
Last updated
10/13/2025
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