Organization
RL CLARK ENTERPRISES LLC
Active
Other names
Homewatch CareGivers of Brownsburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEE CLARK (OWNER/PRESIDENT)
(317) 286-3042
Entity
Organization
Contact information
Practice address
41A MOTIF BLVD, BROWNSBURG, IN 46112-1017
(317) 286-3042
Mailing address
41A MOTIF BLVD, BROWNSBURG, IN 46112-1017
(317) 286-3042
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01708799984
TID
IN
01
—
253Z0000X
TAXONOMY
IN
Enumeration date
01/27/2022
Last updated
01/27/2022
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