| NPI | 1609421429 |
|---|---|
| Doing Business As | CLOVER RIDGE PLACE |
| Entity Type | Organization |
| Authorized Contact | CHERI ORCUTT Manager 563-652-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |