Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHONTA CLARK
Active Sole ProprietorSHONTA CLARK is a Assisted Living Facility healthcare provider located in SAINT LOUIS, Missouri. NPI 1326400888 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1326400888
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2016 (10.411806013376 yrs)
- Last Updated
- Mar 24, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 ROSE LNSAINT LOUIS, MO, 631225911Browse MO providers · Browse ZIP 63122
- Phone
- 3146868444
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| ALICIA STEINMANN | COTA | 1679965057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.