Organization
CLOVERCROFT CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BERRY (PRINCIPAL OWNER)
(610) 304-1494
Entity
Organization
Contact information
Practice address
5410A KENTUCKY AVE, NASHVILLE, TN 37209-2011
(610) 304-1494
Mailing address
5410A KENTUCKY AVE, NASHVILLE, TN 37209-2011
(610) 304-1494
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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