Organization
CLARK LEGACY HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC FERLAINE CLARK SR. (OWNER)
(601) 942-2115
Entity
Organization
Contact information
Practice address
450 N BRANDON BLVD, BRANDON, MS 39042-8340
(601) 942-2115
(601) 942-2115
Mailing address
450 N BRANDON BLVD, BRANDON, MS 39042-8340
(601) 942-2115
(601) 942-2115
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
05/13/2026
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