Individual provider · Type 1 NPI
Demetria Clark
Home Health Agency · Toledo, OH
Practice location
709 Lodge Ave
Toledo, OH 43609-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Home Health Agency Primary | 251E00000X | None listed |
| Secured Medical Transport (VAN) | 343800000X | None listed |
| Other Technician | 247200000X | None listed |
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | None listed |
Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…
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About NPI 1487209722
Demetria Clark's National Provider Identifier is 1487209722, issued on Aug 5, 2019. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Toledo, OH. The record was last updated on Oct 2, 2022.