Lighthouse Clover LLC
NPI #1558969105 in Columbia, New Jersey
Provider Information
- NPI Number
- 1558969105
- Entity Type
- Organization
- Organization Name
- Lighthouse Clover LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 15, 2020
- Last Updated
- Oct 15, 2020
Practice Location
- Address
- 28 WASHINGTON ST
- City
- Columbia
- State
- New Jersey
- ZIP Code
- 07832-2324
- Phone
- (908) 496-4307
Authorized Official
- Name
- DOV LEBOVIC, MSM LNHA
- Title
- MEMBER
- Phone
- (516) 680-7687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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