Glenda Clark
Individual provider Active NPI Personal Care Attendant · Minden, LA
NPI 1700547882 · NPPES record last updated Dec 31, 2021
Key facts
- NPI
- 1700547882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 603 Harris St
Minden, LA 71055-5543 - Phone
- (318) 207-5445
- NPI assigned
- Dec 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
603 Harris St
Minden, LA 71055-5543
Mailing address
603 Harris St
Minden, LA 71055-5543
Phone (318) 207-5445
Other providers in Minden, LA
- Changing Behavior Services of Minden LLC
- Michael Scott Chanler
- Victoria Chapman
- Chess Group, LLC
- Mark Allen Cimino
- Rebecca S. Clark
- Classic Care of Baton Rouge, Inc.
- CLHG - Minden, LLC
- CLHG - Minden, LLC
- CLHG - Minden, LLC
All providers in Minden, LA · Personal Care Attendant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.