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Mr. JOEL RAY CLARK --

Individual Provider (NPI-1) Active

Driver

Provider Information

NPI Number
1609906502
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
128 SCENEGA, VALDEZ, AK, 99686
Phone
(907) 835-3274
Fax
(907) 835-3512

Specialties & Taxonomies

Driver Primary
Chore Provider
Adult Companion
Day Training/Habilitation Specialist
Technician, Attendant Care Provider
Technician, Personal Care Attendant
Home Health Aide

All Addresses

MAILING

PO BOX 1013

VALDEZ, AK, 996861013

(907) 835-4704

LOCATION

128 SCENEGA

VALDEZ, AK, 99686

(907) 835-3274