Individual provider · Type 1 NPI
Gregg P. Clark
Home Modifications Contractor · Wilmington, DE
NPI number
1053852608
Active
Practice location
113 Smyrna Ave
Wilmington, DE 19809-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | 1990063352 (DE) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
Other home modifications contractor providers in Wilmington
About NPI 1053852608
Gregg P. Clark's National Provider Identifier is 1053852608, issued on Mar 15, 2017. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Wilmington, DE. The record was last updated on Mar 15, 2017.