Individual provider · Type 1 NPI
Ruby Lee Clark
Adult Care Home Facility · Burleson, TX
NPI number
1629985106
Active
Practice location
1112 Hearthstone Dr
Burleson, TX 76028-0303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None 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.
About NPI 1629985106
Ruby Lee Clark's National Provider Identifier is 1629985106, issued on Aug 27, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Burleson, TX. The record was last updated on Aug 27, 2026.