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Clark Family Care Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Willow Spring, North Carolina
NPI 1437438959

Clark Family Care Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Willow Spring, NC. Clark Family Care Home practices in Willow Spring, NC. The NPI Number for Clark Family Care Home is 1437438959 and holds a License No. FCL-051-044 (North Carolina).

The current practice location address for Clark Family Care Home is 167 Saleen Dr, Willow Spring, NC and can be reached out via phone at 919-207-6114.

Location: 167 Saleen Dr, Willow Spring, NC, 27592-7610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437438959
Provider Name
Clark Family Care Home
Credential
Provider Entity Type
Organization
Address
167 Saleen Dr, Willow Spring, NC, 27592-7610
Phone Number
919-207-6114
Fax Number
Provider Enumeration Date
08/15/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
167 Saleen Dr
City
Willow Spring
State
North Carolina
Zip
27592-7610
Phone Number
919-207-6114
Fax Number
person
Provider Business Mailing Address Details
Address
167 Saleen Dr
City
Willow Spring
State
North Carolina
Zip
27592-7610
Phone Number
919-207-6114
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL-051-044 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
FCL-051-044 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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