| NPI | 1023693926 |
|---|---|
| Doing Business As | CLOVE LAKE CENTER FOR REHABILITATION AND NURSING |
| Entity Type | Organization |
| Authorized Contact | SOLOMON KLEIN Member 307-909-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |