Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMETRIA GODFREY CLARK
Active Sole ProprietorDEMETRIA GODFREY CLARK is a In Home Supportive Care Agency healthcare provider located in COLUMBIA, South Carolina. NPI 1811777394 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · COLUMBIA, SC
Registration Details
- NPI Number
- 1811777394
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2023 (2.8939363043142 yrs)
- Last Updated
- Oct 3, 2023
- License
-
BL002252-09-2023 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4600 FORT JACKSON BLVD APT 124COLUMBIA, SC, 292091142Browse SC providers · Browse ZIP 29209
- Phone
- 8033572268
- Fax
- 8038875093
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DEDRA LAKIA WRIGHT | — | 1881115913 |
| DONOVIN M BELL | — | 1336650787 |
| LASHONDA EDWARDS | PCA | 1255844619 |
| AMELIA MCFARRLANE | — | 1740845460 |
| KAREN GREEN | — | 1942819446 |
| TASHIMA D CHAPPELL | — | 1699378034 |
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.