Organization · Type 2 NPI

Clinic Leasing Co., LLC

Skilled Nursing Facility · Ivydale, WV

NPI number 1104530682 Active

Practice location

1053 Clinic Dr
Ivydale, WV 25113-8266

Mailing address

10123 Alliance Rd
Blue Ash, OH 45242-4887

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1104530682

Clinic Leasing Co., LLC's National Provider Identifier is 1104530682, issued on Jan 10, 2023. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ivydale, WV. The record was last updated on May 1, 2025.