NPI 1104530682
Clinic Leasing Co., LLC
Practice location
- Address
- 1053 Clinic Dr, Ivydale, WV 25113-8266
- Phone
- (304) 286-4204
- Mailing address
- 10123 Alliance Rd, Blue Ash, OH 45242-4887
Authorised official
- Name
- Charles Stoltz
- Title
- Treasurer
- Phone
- (513) 530-1808
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1104530682
- Entity type
- Organization
- NPI issued
- 10 Jan 2023
- Record last updated
- 1 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.