Betty Ann Clark in Charlotte - Respite Care, Intellectual And/or Developmental Disabilities
Betty Ann Clark - NPI 1689710006
Betty Ann Clark is a Respite Care, Intellectual And/or Developmental Disabilities in Charlotte, North Carolina. Betty Ann Clark practices all healthcare services and medical treatments related to Respite Care, Intellectual And/or Developmental Disabilities. The NPI Number for Betty Ann Clark is 1689710006. The last update date is 2020-08-22.
Betty Ann Clark's current location address is 9709 Avensong Crossing Dr, Charlotte, North Carolina. You can contact this provider via phone number 7045321071. The mailing address for Betty Ann Clark is 9709 Avensong Crossing Dr, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Betty Ann Clark |
|---|---|
| Address | 9709 Avensong Crossing Dr, Charlotte, North Carolina |
| Phone Number | 7045321071 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Clark Betty Ann |
| Telephone Number | 7045323107 |
NPI Number Detail
| NPI Number | 1689710006 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9709 Avensong Crossing Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282158078 |
| Phone Number | 7045321071 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 385Hr2060X |
| Licence No | 60001581 |
|
Definition: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3409246 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Betty Ann Clark by the Centers for Medicare & Medicaid Services?
The Betty Ann Clark has been issued the NPI (National Provider Identifier) 1689710006 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Betty Ann Clark is physically located?
The Betty Ann Clark is physically situated at the following address: 9709 Avensong Crossing Dr, Charlotte, NC, 282158078.
What is the area of specialization for Betty Ann Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Betty Ann Clark is Respite Care, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 385Hr2060X.
On what date was the 1689710006 assigned to Betty Ann Clark?
The Betty Ann Clark was issued its 1689710006 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Betty Ann Clark most recently updated or revised?
The details related to Betty Ann Clark, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.