Cloverleaf Healthcare LLC
NPI #1104242999 in Clintonville, Wisconsin
Provider Information
- NPI Number
- 1104242999
- Entity Type
- Organization
- Organization Name
- Cloverleaf Healthcare LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 17, 2014
- Last Updated
- Sep 19, 2023
Practice Location
- Address
- 1625 E MAIN ST
- City
- Clintonville
- State
- Wisconsin
- ZIP Code
- 54929
- Phone
- (715) 823-3135
Authorized Official
- Name
- SOON BURNAM
- Title
- TREASURER
- Phone
- (949) 540-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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