Organization
CLAYTON ADAPTIVE REHAB EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS ENTREKIN (PRESIDENT)
(856) 401-8822
Entity
Organization
Contact information
Practice address
125 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2954
(856) 401-8822
(856) 401-8833
Mailing address
125 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2954
(856) 401-8822
(856) 401-8833
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0079490
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3460801
—
NJ
Enumeration date
08/31/2006
Last updated
08/22/2020
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