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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY RENEE CLARK, SMALL BUSINESS OWNER

Active Sole Proprietor

TIFFANY RENEE CLARK, SMALL BUSINESS OWNER is a Adult Day Care Facility healthcare provider located in ZACHARY, Louisiana. NPI 1689226805 is currently active in the NPPES registry. Verify at CMS.

Adult Day Care Facility · ZACHARY, LA

Registration Details

NPI Number
1689226805
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2019 (7.1303379352992 yrs)
Last Updated
Jul 9, 2019
Sole Proprietor
Yes

Practice Information

Address
6632 OAKS EDGE DR
ZACHARY, LA, 707913259
Browse LA providers · Browse ZIP 70791
Phone
2252685939
Primary Specialty
Adult Day Care Facility
261QA0600X
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.