Individual provider · Type 1 NPI

Shannon Clark

Homemaker · Logan, OH

NPI number 1568337616 Active

Practice location

311 W Front St
Logan, OH 43138-1831

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1568337616

Shannon Clark's National Provider Identifier is 1568337616, issued on Oct 8, 2025. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Logan, OH. The record was last updated on Oct 8, 2025.