IndividualActive
Marsha Clark, RN
NPI 1043689342 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gary, IN
Provider details
- NPI number
- 1043689342
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28139476A (IN)
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Registry dates
- Enumerated
- 2015-09-17
- Last updated
- 2015-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.