Individual provider · Type 1 NPI
Elijah Clark
Meals Provider · Columbia, SC
NPI number
1922897669
Active
Practice location
20 Helton Dr Apt 3123
Columbia, SC 29229-6948
Fax (803) 807-8894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1922897669
Elijah Clark's National Provider Identifier is 1922897669, issued on Apr 30, 2025. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Columbia, SC. The record was last updated on Apr 30, 2025.