Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alaysha Clark

Individual provider Adult Care Home Facility · NPI 1083352215

Alaysha Clark is an Adult Care Home Facility in Riverview, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

11309 Chilly Water Ct
Riverview, FL 33569-2059
Phone: (813) 507-5878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X (FL)

Record details

NPI number1083352215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 26, 2022
Last updated in NPPESApril 25, 2026
Certification dateApril 25, 2026
Mailing address11309 Chilly Water Ct, Riverview, FL 33569-2059

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