| Organization Name: | CLARK BUILDERS |
| NPI Number: | 1740606847 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L CLARK (OWNER) |
| Mailing Address: | 860 Bear Creek Rd Pinson |
| State: | TN US |
| Postal Code: | 383661955 |
| Phone Number: | 7319885304 |
| Fax Number: | 7314252485 |
| NPI Enumeration Date: | 03/13/2014 |
| NPI Last Update Date: | 03/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | 00054804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |