IndividualActive
Alaysha Clark
NPI 1083352215 · Adult Care Home Facility · Riverview, FL
Provider details
- NPI number
- 1083352215
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
11309 Chilly Water Ct
Riverview, FL 33569-2059
Phone: (813) 507-5878
Approximate (ZIP-level) locationGet directions
Mailing address
11309 Chilly Water Ct
Riverview, FL 33569-2059
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2026-04-25
- Certified
- 2026-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.