Individual provider · Type 1 NPI
Phillip Douglas Clark Sr.
Home Health Aide · Longs, SC
NPI number
1053912451
Active
Practice location
2126 Highway 9 E Unit 5B
Longs, SC 29568-5725
Fax (843) 485-0047
Mailing address
3988 Tybre Ct
Little River, SC 29566-8483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | 1264 |
| Home Health Aide Primary | 374U00000X | 1264 (SC) |
Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Another provider at this address
About NPI 1053912451
Phillip Douglas Clark Sr.'s National Provider Identifier is 1053912451, issued on Nov 3, 2020. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Longs, SC. The record was last updated on Nov 3, 2020.