Provider Demographics
NPI:1811156318
Name:THE LOVING CLARKS, INC.
Entity type:Organization
Organization Name:THE LOVING CLARKS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CSA
Authorized Official - Phone:713-974-6920
Mailing Address - Street 1:2630 FOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 226
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7608
Mailing Address - Country:US
Mailing Address - Phone:713-974-6920
Mailing Address - Fax:713-974-6922
Practice Address - Street 1:2630 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 226
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7608
Practice Address - Country:US
Practice Address - Phone:713-974-6920
Practice Address - Fax:713-974-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010234251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health