Whalio Doctors

NPI 1043689342

Marsha Clark, RN

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gary, IN

Practice location

Address
1100 W 6th Ave, Gary, IN 46402-1711
Phone
(219) 240-8615

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 28139476A (IN)

Registry record

NPI
1043689342
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Sep 2015
Record last updated
17 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.