Individual provider · Type 1 NPI

Harold Christopher Clark Ii

Adult Care Home Facility · Vancouver, WA

NPI number 1629461355 Active

Practice location

6511 NE 18th St
Vancouver, WA 98661-6869

Call (360) 753-6082 Map

Mailing address

16021 NE 37th St
Vancouver, WA 98682-7461

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone 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.

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About NPI 1629461355

Harold Christopher Clark Ii's National Provider Identifier is 1629461355, issued on Mar 4, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Vancouver, WA. The record was last updated on Mar 4, 2015.