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David Ray Clark IV
In Home Supportive Care Agency in South Pittsburg, Tennessee
NPI 1083476733

David Ray Clark IV is a In Home Supportive Care Agency based in South Pittsburg, TN. David Ray Clark IV practices in South Pittsburg, TN. The NPI Number for David Ray Clark IV is 1083476733 and holds a License No. 71446 (Tennessee).

The current practice location address for David Ray Clark IV is 109 6Th St, South Pittsburg, TN and can be reached out via phone at 423-838-2780.

Location: 109 6Th St, South Pittsburg, TN, 37380-1331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083476733
Provider Name
David Ray Clark IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 6Th St, South Pittsburg, TN, 37380-1331
Phone Number
423-838-2780
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 6Th St
City
South Pittsburg
State
Tennessee
Zip
37380-1331
Phone Number
423-838-2780
Fax Number
person
Provider Business Mailing Address Details
Address
109 6Th St
City
South Pittsburg
State
Tennessee
Zip
37380-1331
Phone Number
423-838-2780
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
71446 (Tennessee)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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