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Karen Clarke Dba Tlc Adult Group Home
Adult Care Home Facility in Hertford, North Carolina
NPI 1801121140

Karen Clarke Dba Tlc Adult Group Home is an Adult Care Home Facility based in Hertford, NC and is specialized in Adult Care Home. Karen Clarke Dba Tlc Adult Group Home practices in Hertford, NC. The NPI Number for Karen Clarke Dba Tlc Adult Group Home is 1801121140 and holds a License No. MHL-072-008 (North Carolina).

The current practice location address for Karen Clarke Dba Tlc Adult Group Home is 210 Soundward Ln, Hertford, NC and can be reached out via phone at 252-813-5557.

Location: 210 Soundward Ln, Hertford, NC, 27944-9749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801121140
Provider Name
Karen Clarke Dba Tlc Adult Group Home
Credential
Provider Entity Type
Organization
Address
210 Soundward Ln, Hertford, NC, 27944-9749
Phone Number
252-813-5557
Fax Number
Provider Enumeration Date
10/05/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHL-072-008 01 NC MENTAL HEALTH STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
210 Soundward Ln
City
Hertford
State
North Carolina
Zip
27944-9749
Phone Number
252-813-5557
Fax Number
person
Provider Business Mailing Address Details
Address
210 Soundward Ln
City
Hertford
State
North Carolina
Zip
27944-9749
Phone Number
252-813-5557
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL-072-008 (North Carolina)
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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