Individual
GEORGE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
P13 AVON DR, EAST WINDSOR NJ, NJ 08520
(919) 632-4347
Mailing address
P13 AVON DR, EAST WINDSOR, NJ 08520-5653
(910) 977-0539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
40QB00319500
NJ
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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