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REBECCA CLARK FOSTER PARENT
NPI 1861557563
Respite Care - Respite Care, Mental Illness, Child in Yuma, AZ

Active since December 25, 2006
2703 S 37TH DR, YUMA, AZ 85364(928) 726-1636 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rebecca Clark Foster Parent NPPES

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

REBECCA CLARK FOSTER PARENT (NPI 1861557563) is an individual respite care, mental illness, child provider in Yuma, Arizona, licensed in (11351) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1861557563
Entity TypeIndividualFemale
Primary Taxonomy385HR2055X
Provider Legal NameREBECCA CLARKCredential: FOSTER PARENT
Location Address2703 S 37TH DRYuma, AZ 85364-5983
Mailing Address2703 S 37th DrYuma, AZ 85364-5983 · (928) 726-1636
Phone(928) 726-1636
Sole ProprietorYes
Enumeration DateDecember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861557563 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 · 11351
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.
2703 S 37TH DR, Yuma, AZ 85364
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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 Rebecca Clark's NPI number?

The NPI number for Rebecca Clark is 1861557563. It was assigned to this individual provider in the NPPES registry on December 25, 2006.

Where is Rebecca Clark located?

Rebecca Clark practices at 2703 S 37th Dr, Yuma, AZ 85364. The listed phone number is (928) 726-1636.

What is Rebecca 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 Rebecca Clark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.