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NPI Profile for SHANELL CLARK in OAK PARK, MI.
An individual, often licensed by the state, who is responsible for the management of a nursing home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Home Administrator |
376G00000X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Chore Provider |
372500000X | |||
Day Traning/Habilitation Specialist |
373H00000X |
| NPI Number | 1972958106 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/25/2016 | |
| Last updated | 04/25/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHANELL CLARK
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SHANELL CLARK