SHERRY CLARK NPI 1346620259

NPI Information

NPI: 1346620259
Provider Name: SHERRY CLARK
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
7030 CAPELLA PARK AVE
DALLAS, TX
ZIP 75236
Phone: (817) 540-1363
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Sherry Clark is a community based residential treatment facility, intellectual and/or developmental disabilities in Dallas, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Sherry Clark NPI is 1346620259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7030 CAPELLA PARK AVE
DALLAS, TX
ZIP 75236-003
Phone: (817) 540-1363

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		320900000	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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