Individual provider · Type 1 NPI
Alaysha Clark
Adult Care Home Facility · Riverview, FL
NPI number
1083352215
Active
Practice location
11309 Chilly Water Ct
Riverview, FL 33569-2059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Riverview
About NPI 1083352215
Alaysha Clark's National Provider Identifier is 1083352215, issued on May 26, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Riverview, FL. The record was last updated on Apr 25, 2026.