NPI Index

CLARK SUPPORTED LIVING

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Organization
NPI: 1326514381

Practice Address

303 MACAW DR
Columbia, MO 65202

Phone: (773) 332-6106

Specialties

Specialty Code Primary License
Registered Nurse - Community Health 163WC1500X No -
Meals 174200000X No -
Case Management 251B00000X No -
Nursing Care 251J00000X No -
Community/Behavioral Health 251S00000X No -
Supports Brokerage 251X00000X No -
In Home Supportive Care 253Z00000X No -
Clinic/Center - Adult Day Care 261QA0600X No -
Clinic/Center - Developmental Disabilities 261QD1600X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Respite Care 385H00000X No -
Respite Care - Respite Care, Mental Illness, Child 385HR2055X No -
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child 385HR2060X No -
Respite Care - Respite Care, Physical Disabilities, Child 385HR2065X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X Yes -

Frequently Asked Questions

NPI 1326514381 is the National Provider Identifier for CLARK SUPPORTED LIVING, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Columbia, MO. This NPI was enumerated on October 17, 2018.

Quick Facts

NPI
1326514381
Type
Organization
Enumerated
Oct 17, 2018
Last Updated
Oct 17, 2018

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