Organization
CLOVER CAREGIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON POULTER OTR/L (OWNER/CARE MANAGER)
(208) 502-0011
Entity
Organization
Contact information
Practice address
3872 APOLLO DR, IDAHO FALLS, ID 83401-1689
(208) 502-0011
Mailing address
3872 APOLLO DR, IDAHO FALLS, ID 83401-1689
(208) 502-0011
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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