Latisha Clark - Indianapolis, IN

Latisha Clark

Developmentally Disabled Services Day Training Agency in Indianapolis, Indiana

NPI 1932714318

Latisha Clark is a Developmentally Disabled Services Day Training Agency based in Indianapolis, IN. Latisha Clark practices in Indianapolis, IN. The NPI Number for Latisha Clark is 1932714318 and holds a License No. (Indiana).

The current practice location address for Latisha Clark is 8109 Blackgum Ct, Indianapolis, IN and can be reached out via phone at 317-658-5177. You can also correspond with Latisha Clark through the mailing address at 8109 BLACKGUM CT, INDIANAPOLIS, IN - 46236-8260 (mailing address contact number: 317-658-5177).

Location: 8109 Blackgum Ct, Indianapolis, IN, 46236-8260

NPI Number

1932714318

Provider Name

Latisha Clark

Credential

Provider Entity Type

Individual

Gender

Female

Address

8109 Blackgum Ct, Indianapolis, IN, 46236-8260

Phone Number

317-658-5177

Fax Number

Provider Enumeration Date

09/11/2020

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
00000000	01	IN	LATISHA

Address

8109 Blackgum Ct

City

Indianapolis

State

Indiana

Zip

46236-8260

Phone Number

317-658-5177

Fax Number

Address

8109 Blackgum Ct

City

Indianapolis

State

Indiana

Zip

46236-8260

Phone Number

317-658-5177

Fax Number

Type

Agencies

Classification

Day Training, Developmentally Disabled Services

Speciality

Taxonomy

251C00000X

License No.

()

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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