LATISHA CLARK NPI 1932714318

NPI Information

Latisha Clark is a day training developmentally disabled services in Indianapolis, IN. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. Latisha Clark NPI is 1932714318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8109 BLACKGUM CT
INDIANAPOLIS, IN
ZIP 46236-260
Phone: (317) 658-5177

The enumeration date for this NPI number is 9/11/2020 and was last updated on 6/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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