Organization · Type 2 NPI
Clark Family Care Home
Adult Care Home Facility · Willow Spring, NC
NPI number
1437438959
Active
Practice location
167 Saleen Dr
Willow Spring, NC 27592-7610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | FCL-051-044 (NC) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | FCL-051-044 (NC) |
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.
About NPI 1437438959
Clark Family Care Home's National Provider Identifier is 1437438959, issued on Aug 15, 2011. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Willow Spring, NC. The record was last updated on Aug 15, 2011.