Clover House, LLC
Clover House, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2010.
- Licensed in
- GA
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
496 N Avery Rd NWRome, GA 30165-7970
Phone: (706) 295-2388
Fax: (706) 413-1719
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 057-01-039-1 (GA) |
|---|
Record details
| NPI number | 1043541915 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darrell Creel — Clover House Home Manager · (706) 295-2388 |
| NPI enumerated | January 16, 2010 |
| Last updated in NPPES | January 16, 2010 |
| Mailing address | 496 N Avery Rd Nw, Rome, GA 30165-7970 |