Individual provider · Type 1 NPI
Tiffany Renee Clark, SMALL BUSINESS OWNER
Adult Day Care Clinic/Center · Zachary, LA
NPI number
1689226805
Active
Practice location
6632 Oaks Edge Dr
Zachary, LA 70791-3259
Mailing address
PO Box 34
Zachary, LA 70791-0034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1689226805
Tiffany Renee Clark, SMALL BUSINESS OWNER's National Provider Identifier is 1689226805, issued on Jul 9, 2019. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Zachary, LA. The record was last updated on Jul 9, 2019.