# KAREN CLARKE DBA TLC ADULT GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TLC Adult Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801121140
- **Authorized official:** MRS. KAREN DENISE CLARKE (OWNER)
- **Authorized official phone:** (252) 426-3496

## Contact information

- **Practice address:** 210 SOUNDWARD LN, HERTFORD, NC 27944-9749
- **Practice address phone:** (252) 813-5557
- **Mailing address:** 210 SOUNDWARD LN, HERTFORD, NC 27944-9749
- **Mailing address phone:** (252) 813-5557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | MHL-072-008 | NC | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2009
- **Last updated:** 12/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MHL-072-008 | MENTAL HEALTH STATE LICENSE NUMBER | NC |