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

Carol Clark

Individual provider Personal Care Attendant · NPI 1164651915

Carol Clark is a Personal Care Attendant in Southgate, Michigan. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

19401 Northline Rd
Southgate, MI 48195-2277
Phone: (734) 785-7718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1164651915
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2009
Last updated in NPPESJuly 14, 2009
Mailing address790 Saint Johns Blvd, Lincoln Park, MI 48146-4926

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