Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency |
| NPI Number | 1124021043 |
||||||||
| LBN Legal business name | CLAY COUNTY HEALTH DEPARTMENT | ||||||||
| Authorized official | DONNA JENSEN - (DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/24/2005 | ||||||||
| Last updated | 06/19/2023 - About 3 years ago | ||||||||
| Identifiers |
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