| Organization Name: | AMERICAN HEALTHCARE LLC CLINTWOOD |
| NPI Number: | 1043422835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TED A. LENEAVE (CEO) |
| Mailing Address: | Route 607 Box 909 Clintwood |
| State: | VA US |
| Postal Code: | 24228 |
| Phone Number: | 2769264693 |
| Fax Number: | 2769269128 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |