Active NPIIndividual providerSole proprietor

George Clark

Assisted Living Facility in East Windsor Nj, New Jersey

NPI Number1083099279
Practice location
P13 Avon Dr, East Windsor Nj, NJ 08520
Fax
—
Last updated
July 29, 2015

George Clark is an Assisted Living Facility based in East Windsor Nj, NJ. George Clark practices in East Windsor Nj, NJ. The NPI Number for George Clark is 1083099279 and holds a License No. 40QB00319500 (NJ). The current practice location address for George Clark is P13 Avon Dr, East Windsor Nj, NJ 08520 and can be reached out via phone at 919-632-4347.

Provider Profile Details

NPI Number
1083099279
Provider Name
George Clark
Provider Entity Type
Individual
Gender
Male
Address
P13 Avon Dr, East Windsor Nj, NJ 08520
Phone Number
919-632-4347
Primary Taxonomy
Assisted Living Facility · 310400000X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2015
Last Update Date
July 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
P13 Avon Dr
East Windsor Nj, NJ 08520
Zip
08520
Phone Number
919-632-4347
East Windsor Nj, NJ 08520Get directions →

Provider Business Mailing Address Details

Address
P13 Avon Dr
East Windsor, NJ 08520-5653
City
East Windsor
State
NJ
Zip
08520-5653
Phone Number
910-977-0539

License Information

License Number
40QB00319500
License State
NJ
Taxonomy
Assisted Living Facility · 310400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of George Clark?

The NPI number of George Clark is 1083099279. It was assigned on July 29, 2015 and is currently active in the NPPES registry.

What is the specialty of George Clark?

George Clark is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in NJ under license number 40QB00319500.

Where does George Clark practice?

The practice location is P13 Avon Dr, East Windsor Nj, NJ 08520. The office can be reached at 919-632-4347 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083099279 directly on the NPPES registry website.

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