Provider Demographics
NPI:1942070628
Name:CLARKS CARE SOLUTIONS
Entity Type:Organization
Organization Name:CLARKS CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMETHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, PHD
Authorized Official - Phone:832-602-7688
Mailing Address - Street 1:1057 GA HIGHWAY 199 S
Mailing Address - Street 2:
Mailing Address - City:EAST DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31027-1686
Mailing Address - Country:US
Mailing Address - Phone:404-439-0016
Mailing Address - Fax:
Practice Address - Street 1:1057 GA HIGHWAY 199 S
Practice Address - Street 2:
Practice Address - City:EAST DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31027-1686
Practice Address - Country:US
Practice Address - Phone:404-439-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care