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Shaheda Clark — NPI 1366323362, South Bend, IN | NPI Central

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NPI 1366323362

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Shaheda Clark

NPI 1366323362 · Adult Companion · South Bend, IN

Provider details

NPI number: 1366323362
Entity type: Individual
Primary specialty: Adult CompanionNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Adult CompanionPrimary372600000X
Nursing Service Related Providers
In Home Supportive Care Agency253Z00000X
Agencies

Practice location

414 Haney Ave

South Bend, IN 46613-2409

Phone: (574) 210-5749

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

414 Haney Ave

South Bend, IN 46613-2409

Registry dates

Enumerated: 2025-09-08
Last updated: 2025-09-08
Certified: 2025-09-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.