Portia Clark
Portia Clark is a Skilled Nursing Facility in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1316 N Tibbs AveIndianapolis, IN 46222-3024
Phone: (317) 634-8330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1326765447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2022 |
| Last updated in NPPES | October 20, 2022 |
| Certification date | October 20, 2022 |
| Mailing address | 1316 N Tibbs Ave, Indianapolis, IN 46222-3024 |
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