Clark Enterprises 407 LLC

NPI #1740432152 in Decatur, Illinois

Provider Information

NPI Number
1740432152
Entity Type
Organization
Organization Name
Clark Enterprises 407 LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Oct 16, 2008
Last Updated
Oct 16, 2008

Practice Location

Address
1398 N OAKLAND AVE
ZIP Code
62526-3737
Phone
(217) 429-6666

Authorized Official

Name
MRS. CHRISTINA LYNN CLARK
Title
OWNER
Phone
(217) 429-6666

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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