Organization
CLOVER REST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR W ROBBINS (CONTROLLER)
(908) 496-4307
Entity
Organization
Contact information
Practice address
28 WASHINGTON ST, COLUMBIA, NJ 07832-2324
(908) 496-4307
(908) 496-9420
Mailing address
PO BOX 223, 28 WASHINGTON ST., COLUMBIA, NJ 07832-0223
(908) 496-4307
(908) 496-9420
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
62104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4506405
—
NJ
Enumeration date
12/07/2005
Last updated
08/22/2020
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