LAKESHIER E CLARK
NPI 1639003338
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since June 09, 2026
9873 OXFORD STATION DR, JACKSONVILLE, FL 32221(904) 400-2244 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeshier E Clark NPPES

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

LAKESHIER E CLARK (NPI 1639003338) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, Florida and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639003338
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameLAKESHIER E CLARK
Location Address9873 OXFORD STATION DRJacksonville, FL 32221-3233
Mailing Address9873 Oxford Station DrJacksonville, FL 32221-3233 · (904) 400-2244
Sole ProprietorYes
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1639003338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

9873 OXFORD STATION DR, Jacksonville, FL 32221

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 Lakeshier Clark's NPI number?

The NPI number for Lakeshier Clark is 1639003338. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Lakeshier Clark located?

Lakeshier Clark practices at 9873 Oxford Station Dr, Jacksonville, FL 32221. The listed phone number is (904) 400-2244.

What is Lakeshier Clark's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Lakeshier Clark was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.