Individual
HOPE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 SHAN DR APT 9, BELLEVILLE, IL 62221-2641
(618) 791-9061
Mailing address
2808 SHAN DR APT 9, BELLEVILLE, IL 62221-2641
(618) 791-9061
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
IL
3747P1801X
Personal Care Attendant
Primary
—
IL
374U00000X
Home Health Aide
—
IL
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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