Clearwater Al Opco, LLC
NPI #1851936124 in Clearwater, Kansas
Provider Information
- NPI Number
- 1851936124
- Entity Type
- Organization
- Organization Name
- Clearwater Al Opco, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 11, 2019
- Last Updated
- Nov 11, 2019
Practice Location
- Address
- 440 N 4TH ST
- City
- Clearwater
- State
- Kansas
- ZIP Code
- 67026-9708
- Phone
- (620) 584-4257
Authorized Official
- Name
- MR. WILLIAM MATTHEW NOVOTNY
- Title
- CEO
- Phone
- (785) 789-4750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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