# CLARKS RESIDENTIAL CARE HOME LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437272085
- **Authorized official:** MRS. LINDA E CLARK (OWNER)
- **Authorized official phone:** (802) 888-1700

## Contact information

- **Practice address:** 213 CLARK RD, HYDE PARK, VT 05655-9218
- **Practice address phone:** (802) 888-1700
- **Practice address fax:** (802) 888-9944
- **Mailing address:** 213 CLARK RD, HYDE PARK, VT 05655-9218
- **Mailing address phone:** (802) 888-1700
- **Mailing address fax:** (802) 888-9944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 0370 | VT | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 09/11/2007