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Organization
CLARKS CARING HEARTS LLC
Active
Organization
CLARKS CARING HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY CLARK (CEO/FOUNDER)
(662) 836-9857
Entity
Organization
Contact information
Practice address
809 WESTSIDE DR, BELZONI, MS 39038-3055
(662) 836-9857
Mailing address
602 BOWLES ST, BELZONI, MS 39038-3750
(662) 836-9857
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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