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Marsha Clark, RN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gary, Indiana
NPI 1043689342

Marsha Clark is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gary, IN. Marsha Clark practices in Gary, IN and has the professional credentials of RN. The NPI Number for Marsha Clark is 1043689342 and holds a License No. 28139476A (Indiana).

The current practice location address for Marsha Clark is 1100 W 6Th Ave, Gary, IN and can be reached out via phone at 219-240-8615. You can also correspond with Marsha Clark through the mailing address at 1100 W 6TH AVE, GARY, IN - 46402-1711 (mailing address contact number: 219-240-8615).

Location: 1100 W 6Th Ave, Gary, IN, 46402-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043689342
Provider Name
Marsha Clark
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1100 W 6Th Ave, Gary, IN, 46402-1711
Phone Number
219-240-8615
Fax Number
Provider Enumeration Date
09/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-240-8615
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-240-8615
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
28139476A (Indiana)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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