person
Mr. Harold Christopher Clark II
Adult Care Home Facility in Vancouver, Washington
NPI 1629461355

Harold Christopher Clark II is an Adult Care Home Facility based in Vancouver, WA and is specialized in Adult Care Home. Harold Christopher Clark II practices in Vancouver, WA. The NPI Number for Harold Christopher Clark II is 1629461355 and holds a License No. (Washington).

The current practice location address for Harold Christopher Clark II is 6511 Ne 18Th St, Vancouver, WA and can be reached out via phone at 360-753-6082.

Location: 6511 Ne 18Th St, Vancouver, WA, 98682-7461
person
Provider Profile Details
NPI Number
1629461355
Provider Name
Harold Christopher Clark II
Credential
Provider Entity Type
Individual
Gender
Male
Address
6511 Ne 18Th St, Vancouver, WA, 98682-7461
Phone Number
360-753-6082
Fax Number
Provider Enumeration Date
03/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6511 Ne 18Th St
City
State
Zip
98661-6869
Phone Number
360-753-6082
Fax Number
person
Provider Business Mailing Address Details
Address
6511 Ne 18Th St
City
State
Zip
98661-6869
Phone Number
360-753-6082
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
()
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.
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