NPI | 1518127000 |
---|---|
Doing Business As | CLOVER WAY |
Entity Type | Organization |
Authorized Contact | JERRY DEETZ Executive Director 715-538-4312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 0012375) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2021-04-15 |