Individual provider · Type 1 NPI
George Clark
Assisted Living Facility · East Windsor Nj, NJ
NPI number
1083099279
Active
Practice location
P13 Avon Dr
East Windsor Nj, NJ 08520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 40QB00319500 (NJ) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1083099279
George Clark's National Provider Identifier is 1083099279, issued on Jul 29, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in East Windsor Nj, NJ. The record was last updated on Jul 29, 2015.