ALICE CLARK
NPI 1063589299
Respite Care - Respite Care, Mental Illness, Child in Florence, AZ

Q: What is Alice Clark's NPI number?

The NPI number for Alice Clark is 1063589299. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Ronald Clark.

Q: What is Alice Clark's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

Q: When was this NPI record last updated?

The NPPES record for Alice Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2006

10720 E. MARIGOLD LANE, FLORENCE, AZ 85232(520) 723-8228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alice Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE CLARK (NPI 1063589299) is an individual respite care, mental illness, child provider in Florence, Arizona, licensed in Arizona (10784) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063589299

Entity TypeIndividualFemale

Primary Taxonomy385HR2055X

Provider Legal NameALICE CLARK

Location Address10720 E. MARIGOLD LANEFlorence, AZ 85232

Mailing Address10720 E. Marigold LaneFlorence, AZ 85232 · (520) 723-8228

Phone(520) 723-8228

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063589299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility

Taxonomy Code385HR2055X

License✔ Licensed in AZ · 10784

Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

10720 E. MARIGOLD LANE, Florence, AZ 85232

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Other Names 1

Other Name (5)Ronald Clark

Other Identifiers 1

Other988321AZ · Ahcccs Id

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Clark's NPI number?

The NPI number for Alice Clark is 1063589299. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Ronald Clark.

Where is Alice Clark located?

Alice Clark practices at 10720 E. Marigold Lane, Florence, AZ 85232. The listed phone number is (520) 723-8228.

What is Alice Clark's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

When was this NPI record last updated?

The NPPES record for Alice Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.