ELIJAH CLARK

Meals Provider

NPI: 1922897669Individual

Specialties, Licenses & Credentials

Home Health Agency

Home Health

Code: 251E00000X

Meals ProviderPrimary

Meals

Code: 174200000X

Contact & Hours

Address: 20 HELTON DR APT 3123
COLUMBIA, SC 29229
Phone: (803) 807-8894

Quick Facts

NPI: 1922897669
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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