CLARK SUPPORTED LIVING – NPI #1326514381
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CLARK SUPPORTED LIVING is a residential treatment facility located in COLUMBIA, MO. NPPES has assigned the NPI number 1326514381 to CLARK SUPPORTED LIVING on October 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARK SUPPORTED LIVING below.

NPI Profile for
CLARK SUPPORTED LIVING

NPI Number
1326514381
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARK SUPPORTED LIVING
Primary location
303 MACAW DR
COLUMBIA, MO 65202
Phone: (773) 332-6106 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ZONDRA CLARK
EXECUTIVE DIRECTOR
Phone: (773) 332-6106
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.