National Provider Identifier Database

SHANELL CLARK
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

SHANELL CLARK
21820 BEVERLY ST
OAK PARK, MI48237-2503
Phone: 248-234-6150
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X
Case Manager/Care Coordinator 171M00000X
Chore Provider 372500000X
Day Traning/Habilitation Specialist 373H00000X

* Indicates primary specialty

NPI Profile & details for SHANELL CLARK

NPI Number 1972958106
Credentials
Entity Individual
Enumeration date 04/25/2016
Last updated 04/25/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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