Clover Lake Management LLC
NPI #1558810259 in Carmel, New York
Provider Information
- NPI Number
- 1558810259
- Entity Type
- Organization
- Organization Name
- Clover Lake Management LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 23, 2016
- Last Updated
- Sep 23, 2016
Practice Location
Authorized Official
- Name
- CHARLES EDOUARD GROS
- Title
- MANAGING MEMBER
- Phone
- (718) 360-8083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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