Cloverleaf Healthcare, Inc.

NPI 1104242999 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1104242999
Enumeration Date 03/17/2014
Last Updated 03/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SOON SOON
Position TREASURER
Phone (715) 823-3135
Fax (715) 823-1503
Practice Location
1625 E MAIN ST
CLINTONVILLE WI, 54929-8407, US
Phone (715) 823-3135
Fax (715) 823-1503
Business Location
1625 E MAIN ST
CLINTONVILLE WI, 54929-8407, US
Phone (715) 823-3135
Fax (715) 823-1503
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1104242999 NPI Number
 

According to our database, Cloverleaf Healthcare, Inc. NPI is 1104242999, taxonomy code is 314000000X Cloverleaf Healthcare, Inc. physically located at 1625 E Main St, Clintonville WI, 54929-8407. NPI Number 1033115704 has the healthcare provider type.

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1104242999 NPI number is provided on an as is basis without warranty of any kind. 1104242999 is maintained by the National Plan & Provider Enumeration System. The contents of Cloverleaf Healthcare, Inc. are for informational purposes only.