NPI: 1689710006
Provider Name: BETTY ANN CLARK
Doing Business As: B.A.C.'S PLACE
Classification: Respite Care - 385HR2060X
Entity Type: Organization
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Address:
9709 AVENSONG CROSSING DR
CHARLOTTE, NC
ZIP 28215
Phone: (704) 532-1071
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BETTY ANN CLARK is a respite care and mental retardation and/or developmental disabilities respite care in Charlotte, NC. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. BETTY ANN CLARK NPI is 1689710006. The provider is registered as an organization entity type.
The provider Is Doing Business As B.a.c.'s Place.
The provider's business location address is:
9709 AVENSONG CROSSING DR
CHARLOTTE, NC
ZIP 28215-078
Phone: (704) 532-1071
The provider's authorized official is Betty Ann Clark .
The authorized official title is Executive Director and has the following contact phone number 70453231071.
The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.