Portia Clark
NPI #1326765447 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1326765447
- Entity Type
- Individual
- Name
- Portia Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 20, 2022
- Last Updated
- Oct 20, 2022
Practice Location
- Address
- 1316 N TIBBS AVE
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46222-3024
- Phone
- (317) 634-8330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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