1326514381 CLARK SUPPORTED LIVING
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- CLARK SUPPORTED LIVING
- Enumeration Date
- October 17, 2018
- Last Update
- October 17, 2018
- Authorized Official
- ZONDRA D CLARK RN
EXECUTIVE DIRECTOR
Phone: (773) 332-6106
Practice Location
- Address
- 303 MACAW DR
COLUMBIA, MO 65202 - Phone
- (773) 332-6106
Mailing Address
- Address
- 303 MACAW DR
COLUMBIA, MO 652026284 - Phone
- (773) 332-6106
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community Health Registered Nurse Community Health | 163WC1500X | Registered Nurse | N/A | N/A | No |
| Meals Provider | 174200000X | Meals | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Nursing Care Agency | 251J00000X | Nursing Care | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Supports Brokerage Agency | 251X00000X | Supports Brokerage | N/A | N/A | No |
| In Home Supportive Care Agency | 253Z00000X | In Home Supportive Care | N/A | N/A | No |
| Adult Day Care Clinic/Center Adult Day Care | 261QA0600X | Clinic/Center | N/A | N/A | No |
| Developmental Disabilities Clinic/Center Developmental Disabilities | 261QD1600X | Clinic/Center | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Respite Care | 385H00000X | Respite Care | N/A | N/A | No |
| Child Mental Illness Respite Care Respite Care, Mental Illness, Child | 385HR2055X | Respite Care | N/A | N/A | No |
| Child Intellectual and/or Developmental Disabilities Respite Care Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | Respite Care | N/A | N/A | No |
| Child Physical Disabilities Respite Care Respite Care, Physical Disabilities, Child | 385HR2065X | Respite Care | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Frequently Asked Questions
What is CLARK SUPPORTED LIVING's NPI number?
CLARK SUPPORTED LIVING's NPI number is 1326514381.
Which doctor has NPI number 1326514381?
The doctor with NPI number 1326514381 is CLARK SUPPORTED LIVING.
What is CLARK SUPPORTED LIVING's practice address?
CLARK SUPPORTED LIVING's practice address is 303 MACAW DR, COLUMBIA, MO, 65202.
Which doctor practices at 303 MACAW DR, COLUMBIA, MO, 65202?
CLARK SUPPORTED LIVING practices at 303 MACAW DR, COLUMBIA, MO, 65202.
What is CLARK SUPPORTED LIVING's phone number?
CLARK SUPPORTED LIVING's phone number is (773) 332-6106.
Who is (773) 332-6106?
(773) 332-6106 is the phone number for CLARK SUPPORTED LIVING.
What is CLARK SUPPORTED LIVING's specialty?
CLARK SUPPORTED LIVING's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is CLARK SUPPORTED LIVING?
CLARK SUPPORTED LIVING is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is CLARK SUPPORTED LIVING a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, CLARK SUPPORTED LIVING is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is CLARK SUPPORTED LIVING still practicing?
Yes, CLARK SUPPORTED LIVING is currently practicing.
Is CLARK SUPPORTED LIVING accepting new patients?
CLARK SUPPORTED LIVING may be accepting new patients. Please call their office at (773) 332-6106 to inquire about availability.
Is NPI 1326514381 still active?
Yes, NPI 1326514381 is currently active.
Where does CLARK SUPPORTED LIVING practice?
CLARK SUPPORTED LIVING practices in COLUMBIA, MO.