location
search-icon
institution
Clover House, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rome, Georgia
NPI 1043541915

Clover House, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rome, GA. Clover House, Llc practices in Rome, GA. The NPI Number for Clover House, Llc is 1043541915 and holds a License No. 057-01-039-1 (Georgia).

The current practice location address for Clover House, Llc is 496 N Avery Rd Nw, Rome, GA and can be reached out via phone at 706-295-2388 and via fax at 706-413-1719.

Location: 496 N Avery Rd Nw, Rome, GA, 30165-7970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043541915
Provider Name
Clover House, Llc
Credential
Provider Entity Type
Organization
Address
496 N Avery Rd Nw, Rome, GA, 30165-7970
Phone Number
706-295-2388
Fax Number
706-413-1719
Provider Enumeration Date
01/16/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
247792228A 05 GA
institution
Provider Business Practice Location Address Details
Address
496 N Avery Rd Nw
City
Rome
State
Georgia
Zip
30165-7970
Phone Number
706-295-2388
Fax Number
706-413-1719
person
Provider Business Mailing Address Details
Address
496 N Avery Rd Nw
City
Rome
State
Georgia
Zip
30165-7970
Phone Number
706-295-2388
Fax Number
706-413-1719
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
057-01-039-1 (Georgia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.