Shaheda Clark
Shaheda Clark is an In Home Supportive Care Agency in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2025.
- Licensed in
- IN
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
414 Haney AveSouth Bend, IN 46613-2409
Phone: (574) 210-5749
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Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X (IN) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X (IN) |
Record details
| NPI number | 1366323362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 8, 2025 |
| Last updated in NPPES | September 8, 2025 |
| Certification date | September 8, 2025 |
| Mailing address | 414 Haney Ave, South Bend, IN 46613-2409 |
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