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NPI Code Detail

MEDICARE: CLOVERLEAF HEALTH SERVICES INC

MEDICARE: CLOVERLEAF HEALTH SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency010176TX

General Provider Information

NPI Number : 1366456998
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLOVERLEAF HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 12010 FLINTSTONE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12010 FLINTSTONE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2715
Country : US
Telephone Number : 281-370-4726
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : LEO G DELA ROSA
Credential :
Telephone Number : 281-370-4726
Provider Enumeration Date : 07/28/2006
Last Update Date : 08/22/2020

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Directions to “CLOVERLEAF HEALTH SERVICES INC ” Practice Location

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