Provider Demographics
NPI:1861548406
Name:THE CLAYE CORPORATION
Entity type:Organization
Organization Name:THE CLAYE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:WAGONER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:276-666-2424
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:RIDGEWAY
Mailing Address - State:VA
Mailing Address - Zip Code:24148-0899
Mailing Address - Country:US
Mailing Address - Phone:276-666-2424
Mailing Address - Fax:276-666-4515
Practice Address - Street 1:139 MICA RD
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:VA
Practice Address - Zip Code:24148-4622
Practice Address - Country:US
Practice Address - Phone:276-666-2424
Practice Address - Fax:276-666-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA166320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities