Organization
CLOVE COACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SACCO (PRESIDENT)
(845) 497-7777
Entity
Organization
Contact information
Practice address
163 BROOKSIDE FARMS RD, NEWBURGH, NY 12550-3938
(845) 497-7777
(845) 497-7696
Mailing address
259 CLOVE RD, MONROE, NY 10950-4765
(845) 497-7777
(845) 497-7696
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03083667
—
NY
Enumeration date
02/27/2014
Last updated
02/27/2014
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