Clark Supported Living
Clark Supported Living is a Community Health Registered Nurse in Columbia, Missouri. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 15
Practice location Address checks out
303 Macaw DrColumbia, MO 65202
Phone: (773) 332-6106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|---|
| Community Health Registered Nurse | Taxonomy 163WC1500X |
| Meals Provider | Taxonomy 174200000X |
| Case Management Agency | Taxonomy 251B00000X |
| Nursing Care Agency | Taxonomy 251J00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Supports Brokerage Agency | Taxonomy 251X00000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X |
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Respite Care | Taxonomy 385H00000X |
| Child Mental Illness Respite Care | Taxonomy 385HR2055X |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
| Child Physical Disabilities Respite Care | Taxonomy 385HR2065X |
Record details
| NPI number | 1326514381 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Zondra Clark — Executive Director · (773) 332-6106 |
| Other names | Csl Missouri |
| NPI enumerated | October 17, 2018 |
| Last updated in NPPES | October 17, 2018 |
| Mailing address | 303 Macaw Dr, Columbia, MO 65202-6284 |