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Tiffany Renee Clark, SMALLBUSINESSOWNER
Adult Day Care Clinic/Center in Zachary, Louisiana
NPI 1689226805

Tiffany Renee Clark is an Adult Day Care Clinic/Center based in Zachary, LA and is specialized in Adult Day Care. Tiffany Renee Clark practices in Zachary, LA and has the professional credentials of SMALLBUSINESSOWNER. The NPI Number for Tiffany Renee Clark is 1689226805 and holds a License No. (Louisiana).

The current practice location address for Tiffany Renee Clark is 6632 Oaks Edge Dr, Zachary, LA and can be reached out via phone at 225-268-5939.

Location: 6632 Oaks Edge Dr, Zachary, LA, 70791-0034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689226805
Provider Name
Tiffany Renee Clark
Credential
SMALLBUSINESSOWNER
Provider Entity Type
Individual
Gender
Female
Address
6632 Oaks Edge Dr, Zachary, LA, 70791-0034
Phone Number
225-268-5939
Fax Number
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6632 Oaks Edge Dr
City
Zachary
State
Louisiana
Zip
70791-3259
Phone Number
225-268-5939
Fax Number
person
Provider Business Mailing Address Details
Address
6632 Oaks Edge Dr
City
Zachary
State
Louisiana
Zip
70791-3259
Phone Number
225-268-5939
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
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