Organization
LIGHTHOUSE CLOVER LLC
Active
Other names
Clover Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
DOV LEBOVIC MSM LNHA (MEMBER)
(516) 680-7687
Entity
Organization
Contact information
Practice address
28 WASHINGTON ST, COLUMBIA, NJ 07832-2324
(908) 496-4307
Mailing address
180 HARBORVIEW N, LAWRENCE, NY 11559-1904
(516) 680-7687
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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