NPI 1366323362

Shaheda Clark

Practitioner Adult Companion South Bend, IN

Practice location

Address: 414 Haney Ave, South Bend, IN 46613-2409
Phone: (574) 210-5749

Registered specialties (2)

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1366323362
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Sep 2025
Record last updated: 8 Sep 2025

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.