NPI 1922897669

Elijah Clark

Practitioner Meals Provider Columbia, SC

Practice location

Address: 20 Helton Dr APT 3123, Columbia, SC 29229-6948
Phone: (803) 807-8894
Fax: (803) 807-8894

Registered specialties (2)

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in South Carolina →

Home Health Agency

Agencies Taxonomy 251E00000X

Other Home Health providers in South Carolina →

Registry record

NPI: 1922897669
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2025
Record last updated: 30 Apr 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.