NPI Index

DEMETRIA CLARK

Home Health

Active Individual
NPI: 1487209722

Practice Address

709 LODGE AVE
Toledo, OH 43609

Phone: (567) 702-1078

Specialties

Specialty Code Primary License
Non-emergency Medical Transport (VAN) 343900000X No -
Home Health 251E00000X Yes -
Secured Medical Transport (VAN) 343800000X No -
Technician, Other 247200000X No -
Clinic/Center - Adult Day Care 261QA0600X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X No -

Frequently Asked Questions

NPI 1487209722 is the National Provider Identifier for DEMETRIA CLARK, a Home Health provider located in Toledo, OH. This NPI was enumerated on August 5, 2019.
DEMETRIA CLARK practices at 709 LODGE AVE, Toledo, OH 43609.

Quick Facts

NPI
1487209722
Type
Individual
Enumerated
Aug 5, 2019
Last Updated
Oct 2, 2022

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