DEMETRIA CLARK

TOLEDO, OH
NPI1487209722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
343800000X Secured Medical Transport (VAN)
247200000X Technician, Other
261QA0600X Clinic/Center, Adult Day Care
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2019-08-05
Last Update Date2022-10-02
Business Address
DEMETRIA CLARK
709 LODGE AVE
TOLEDO, OH 43609-2915
Phone number: 567-702-1078
Mailing Address
DEMETRIA CLARK
709 LODGE AVE
TOLEDO, OH 43609-1173
Phone number: 567-702-1078