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Clover Lake Management Llc
Assisted Living Facility in Carmel, New York
NPI 1558810259

Clover Lake Management Llc is an Assisted Living Facility based in Carmel, NY. Clover Lake Management Llc practices in Carmel, NY. The NPI Number for Clover Lake Management Llc is 1558810259 and holds a License No. 580F001 (New York).

The current practice location address for Clover Lake Management Llc is 838 Fair St, Carmel, NY and can be reached out via phone at 845-878-4111.

Location: 838 Fair St, Carmel, NY, 10512-3085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558810259
Provider Name
Clover Lake Management Llc
Credential
Provider Entity Type
Organization
Address
838 Fair St, Carmel, NY, 10512-3085
Phone Number
845-878-4111
Fax Number
Provider Enumeration Date
09/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03547748 05 NY
institution
Provider Business Practice Location Address Details
Address
838 Fair St
City
Carmel
State
New York
Zip
10512-3085
Phone Number
845-878-4111
Fax Number
person
Provider Business Mailing Address Details
Address
838 Fair St
City
Carmel
State
New York
Zip
10512-3085
Phone Number
845-878-4111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
580F001 (New York)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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