Individual provider · Type 1 NPI

Marsha Clark, RN

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gary, IN

NPI number 1043689342 Active

Practice location

1100 W 6th Ave
Gary, IN 46402-1711

Specialties and licenses

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1043689342

Marsha Clark, RN's National Provider Identifier is 1043689342, issued on Sep 17, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Gary, IN. The record was last updated on Sep 17, 2015.