Individual provider · Type 1 NPI

Shelley B. Clark, LPTA

Skilled Nursing Facility · Ocean Springs, MS

NPI number 1689066367 Active

Practice location

6520 Sunscope Dr
Ocean Springs, MS 39564-8690

Fax (228) 872-4009

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XPTA4100 (MS)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1689066367

Shelley B. Clark, LPTA's National Provider Identifier is 1689066367, issued on Mar 4, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ocean Springs, MS. The record was last updated on Mar 4, 2015.