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Betty Ann Clark
Child Intellectual and/or Developmental Disabilities Respite Care in Charlotte, North Carolina
NPI 1689710006

Betty Ann Clark is a Child Intellectual and/or Developmental Disabilities Respite Care based in Charlotte, NC and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Betty Ann Clark practices in Charlotte, NC. The NPI Number for Betty Ann Clark is 1689710006 and holds a License No. 60001581 (North Carolina).

The current practice location address for Betty Ann Clark is 9709 Avensong Crossing Dr, Charlotte, NC and can be reached out via phone at 704-532-1071.

Location: 9709 Avensong Crossing Dr, Charlotte, NC, 28215-8078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689710006
Provider Name
Betty Ann Clark
Credential
Provider Entity Type
Organization
Address
9709 Avensong Crossing Dr, Charlotte, NC, 28215-8078
Phone Number
704-532-1071
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409246 05 NC
institution
Provider Business Practice Location Address Details
Address
9709 Avensong Crossing Dr
City
Charlotte
State
North Carolina
Zip
28215-8078
Phone Number
704-532-1071
Fax Number
person
Provider Business Mailing Address Details
Address
9709 Avensong Crossing Dr
City
Charlotte
State
North Carolina
Zip
28215-8078
Phone Number
704-532-1071
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
60001581 (North Carolina)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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