OrganizationActive
Clayton Adaptive Rehab Equipment, Inc
NPI 1497867055 · Customized Equipment (DME) · Blackwood, NJ
Provider details
- NPI number
- 1497867055
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Russ Entrekin, President(856) 401-8822
- License
- 0079490 (NJ)
Specialties & taxonomies
Suppliers
Practice location
125 S Black Horse Pike
Blackwood, NJ 08012-2954
Phone: (856) 401-8822
Fax: (856) 401-8833
Approximate (ZIP-level) locationGet directions
Mailing address
125 S Black Horse Pike
Blackwood, NJ 08012-2954
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.