Ileha M Clark is a PACE Provider Organization based in Macon, GA. Ileha M Clark practices in Macon, GA. The NPI Number for Ileha M Clark is 1619531936 and holds a License No. (Georgia).
The current practice location address for Ileha M Clark is 152 New St Ste 103M, Macon, GA and can be reached out via phone at 478-508-7124.
Location: 152 New St Ste 103M, Macon, GA, 31201-7304
Provider Profile Details
NPI Number
1619531936
Provider Name
Ileha M Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
152 New St Ste 103M, Macon, GA, 31201-7304
Phone Number
478-508-7124
Fax Number
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
152 New St Ste 103M
City
State
Zip
31201-7304
Phone Number
478-508-7124
Fax Number
Provider Business Mailing Address Details
Address
152 New St Ste 103M
City
State
Zip
31201-7304
Phone Number
478-508-7124
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
License No.
()
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
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