| NPI | 1558810259 |
|---|---|
| Doing Business As | PLAZA AT CLOVER LAKE |
| Entity Type | Organization |
| Authorized Contact | CHARLES EDOUARD GROS Managing Member 718-360-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 580F001) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |