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Organization
CLOVERLEAF HEALTHCARE LLC
Active
Organization
CLOVERLEAF HEALTHCARE LLC
Active
Other names
The Pines Post Acute and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1625 E MAIN ST, CLINTONVILLE, WI 54929
(715) 823-3135
(715) 823-1503
Mailing address
1625 E MAIN ST, CLINTONVILLE, WI 54929-8407
(715) 823-3135
(715) 823-1503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
03/17/2014
Last updated
09/19/2023
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