NPI 1205621604

Clover Care Coordination LLC

Organisation Case Management Agency Eagle River, AK

Practice location

Address: 13951 Fire Creek Trail Dr, Eagle River, AK 99577-7029
Phone: (907) 280-9483
Fax: (907) 313-7501
Mailing address: PO Box 770198, Eagle River, AK 99577-0198

Authorised official

Name: Myeongsun Olson
Title: Owner/Program Administrator
Phone: (907) 280-9483

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Alaska →

Registry record

NPI: 1205621604
Entity type: Organization
NPI issued: 14 Apr 2025
Record last updated: 14 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.