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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