Provider Demographics
NPI:1588968804
Name:CLARKESONS ENTERPRISES INC
Entity type:Organization
Organization Name:CLARKESONS ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:OSBORNE
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-977-1133
Mailing Address - Street 1:4990 SPEAK LN
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-4004
Mailing Address - Country:US
Mailing Address - Phone:408-977-1133
Mailing Address - Fax:408-445-1299
Practice Address - Street 1:4990 SPEAK LN
Practice Address - Street 2:SUITE 260
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-4004
Practice Address - Country:US
Practice Address - Phone:408-977-1133
Practice Address - Fax:408-445-1299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care