Organization
CLOVE LAKES SNF OPERATIONS LLC
Active
Other names
Clove Lake Center for Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON KLEIN (MEMBER)
(307) 909-1811
Entity
Organization
Contact information
Practice address
25 FANNING ST, STATEN ISLAND, NY 10314-5307
(718) 289-7900
Mailing address
25 FANNING ST, STATEN ISLAND, NY 10314-5307
(718) 289-7900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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