Jodi L Clark in Tennessee Ridge - Attendant Care Provider
Jodi L Clark - NPI 1043348634
Jodi L Clark is a Attendant Care Provider in Tennessee Ridge, Tennessee. Jodi L Clark practices all healthcare services and medical treatments related to Attendant Care Provider. The NPI Number for Jodi L Clark is 1043348634. The last update date is 2007-07-08.
Jodi L Clark's current location address is 1330 N Main St, Tennessee Ridge, Tennessee. You can contact this provider via phone number 9317213312. The mailing address for Jodi L Clark is 1330 N Main St, Tennessee Ridge, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi L Clark |
|---|---|
| Address | 1330 N Main St, Tennessee Ridge, Tennessee |
| Phone Number | 9317213312 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043348634 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1330 N Main St |
|---|---|
| City | Tennessee Ridge |
| State | Tennessee (TN) |
| Post Code | 371784003 |
| Phone Number | 9317213312 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Attendant Care Provider |
|---|---|
| Taxonomy | 3747A0650X |
|
Definition: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, |
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Post Comment/ Review Below
What is the unique identifier code issued to Jodi L Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Jodi L Clark has been assigned the NPI (National Provider Identifier) 1043348634. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jodi L Clark is physically located?
The Jodi L Clark is situated at the following address: 1330 N Main St, Tennessee Ridge, TN 371784003.
What is the Jodi L Clark's area of specialization and corresponding taxonomy classification?
The Jodi L Clark's specialty field is Attendant Care Provider, and it falls under the taxonomy code 3747A0650X, which categorizes healthcare providers based on their specialties.
When was the Jodi L Clark's 1043348634 issued?
The Jodi L Clark's 1043348634 was issued on 2007-03-02.
When was the information regarding Jodi L Clark most recently updated?
The details pertaining to the Jodi L Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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