| NPI | 1245443928 |
|---|---|
| Doing Business As | CLOVER RIDGE PLACE |
| Entity Type | Organization |
| Authorized Contact | LYNNE POPP Manager 563-652-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0078) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-06-11 |