Individual provider · Type 1 NPI
Beverly Clarke
Attendant Care Provider · Petersburg, VA
Practice location
2247 Colston St
Petersburg, VA 23805-2203
Mailing address
2400 Oaklawn Blvd Trlr 13
Hopewell, VA 23860-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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About NPI 1376182659
Beverly Clarke's National Provider Identifier is 1376182659, issued on Jan 3, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Petersburg, VA. The record was last updated on Jan 3, 2020.