Cloverleaf Enterprise INC
NPI #1255312831 in Banning, California
Provider Information
- NPI Number
- 1255312831
- Entity Type
- Organization
- Organization Name
- Cloverleaf Enterprise INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Mar 30, 2022
Practice Location
- Address
- 5800 W WILSON ST
- City
- Banning
- State
- California
- ZIP Code
- 92220-3042
- Phone
- (951) 845-1606
Authorized Official
- Name
- MR. ANTHONY ALBERT LOPEZ, NHA
- Title
- ADMINISTRATOR
- Phone
- (951) 845-1606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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