Demetria Godfrey Clark
Demetria Godfrey Clark is an In Home Supportive Care Agency in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2023
Practice location Address checks out
4600 Fort Jackson Blvd Apt 124Columbia, SC 29209-1142
Phone: (803) 357-2268
Fax: (803) 887-5093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence BL002252-09-2023 (SC) |
|---|
Record details
| NPI number | 1811777394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | October 3, 2023 |
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