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Demetria Godfrey Clark
In Home Supportive Care Agency in Columbia, South Carolina
NPI 1811777394

Demetria Godfrey Clark is a In Home Supportive Care Agency based in Columbia, SC. Demetria Godfrey Clark practices in Columbia, SC. The NPI Number for Demetria Godfrey Clark is 1811777394 and holds a License No. BL002252-09-2023 (South Carolina).

The current practice location address for Demetria Godfrey Clark is 4600 Fort Jackson Blvd Apt 124, Columbia, SC and can be reached out via phone at 803-357-2268 and via fax at 803-887-5093.

Location: 4600 Fort Jackson Blvd Apt 124, Columbia, SC, 29209-1142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811777394
Provider Name
Demetria Godfrey Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
4600 Fort Jackson Blvd Apt 124, Columbia, SC, 29209-1142
Phone Number
803-357-2268
Fax Number
803-887-5093
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4600 Fort Jackson Blvd Apt 124
City
Columbia
State
South Carolina
Zip
29209-1142
Phone Number
803-357-2268
Fax Number
803-887-5093
person
Provider Business Mailing Address Details
Address
4600 Fort Jackson Blvd Apt 124
City
Columbia
State
South Carolina
Zip
29209-1142
Phone Number
803-357-2268
Fax Number
803-887-5093
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
BL002252-09-2023 (South Carolina)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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