ELIJAH CLARK

COLUMBIA, SC
NPI1922897669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174200000X Meals
Additional Taxonomies251E00000X Home Health
Enumeration Date2025-04-30
Last Update Date2025-04-30
Business Address
ELIJAH CLARK
20 HELTON DR APT 3123
COLUMBIA, SC 29229-6948
Phone number: 803-807-8894
Mailing Address
ELIJAH CLARK
20 HELTON DR APT 3123
COLUMBIA, SC 29229-6948
Phone number: 803-807-8894