Lydia Clark is a Home Health Agency based in Fremont, IN. Lydia Clark practices in Fremont, IN. The NPI Number for Lydia Clark is 1588128466 and holds a License No. (Indiana).
The current practice location address for Lydia Clark is 3610 E 300 N, Fremont, IN and can be reached out via phone at 419-348-3129.
Location: 3610 E 300 N, Fremont, IN, 46737-9785
Provider Profile Details
NPI Number
1588128466
Provider Name
Lydia Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
3610 E 300 N, Fremont, IN, 46737-9785
Phone Number
419-348-3129
Fax Number
Provider Enumeration Date
01/25/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0185693 | 05 | OH |
Provider Business Practice Location Address Details
Address
3610 E 300 N
City
State
Zip
46737-9785
Phone Number
419-348-3129
Fax Number
Provider Business Mailing Address Details
Address
3610 E 300 N
City
State
Zip
46737-9785
Phone Number
419-348-3129
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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