Overview of Clover House, Llc
- NPI number: 1043541915
- Provider type: Organization
- Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
- Active since: 01/16/2010
- Last updated: 01/16/2010
Primary Scrop of Practice
- Taxonomy Code: 320900000X
- Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
- License Number: 057-01-039-1
- License State: GA
Provider Mailing Address
- Address: 496 N Avery Rd NwRome, GA 30165
- Phone: 706-295-2388
- Fax: 706-413-1719
Provider Practice Location
- Address: 496 N Avery Rd NwRome, GA 30165
- Phone: 706-295-2388
- Fax: 706-413-1719
Authorized Official
- Name: MR. Darrell A Creel
- Position/Title: Clover House Home Manager
- Telephone Number: 706-295-2388
Scope of Practice
- Taxonomy Code: 320900000X
- Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
- License Number: 057-01-039
- License State: GA
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 247792228A
- Identifier Type: Medicare Oscar/Certification
- Identifier State: GA
- Issuer:
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Clover House, Llc?
- A: The npi number for Clover House, Llc is 1043541915.
- Q: What are Clover House, Llc's specialties?
- A: Clover House, Llc's specialties are Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities and different specialities.
- Q: Where is Clover House, Llc business practice location?
- A: Clover House, Llc business practice location is 496 N Avery Rd Nw, Rome, GA 30165.
- Q: How to contact Clover House, Llc?
- A: You can contact Clover House, Llc via 706-295-2388.
- Q: What is the authorized official for Clover House, Llc?
- A: The authorized office name is MR. Darrell A Creel with position/title is Clover House Home Manager and you can reach the authorized official via phone number 7062952388.
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