Mr. Phillip Douglas Clark Sr.

Individual provider Home Health Aide · NPI 1053912451

Mr. Phillip Douglas Clark Sr. is a Home Health Aide in Longs, South Carolina. Licensed in South Carolina. Registered with an NPI since 2020.

Licensed in: SC
In the registry since: 2020
Specialties on file: 2

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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Longs, SC

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Specialties & licences

Home Health Aide (primary)	Taxonomy 374U00000X · Licence 1264 (SC)
Home Health Aide	Taxonomy 374U00000X · Licence 1264

Record details

NPI number	1053912451
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	November 3, 2020
Last updated in NPPES	November 3, 2020
Certification date	November 3, 2020