NPI 1487814430

Cloverdale Personal Care Home

Organisation Adult Care Home Facility Masontown, PA

Practice location

Address: 206 Westwood Ave, Masontown, PA 15461-1646
Phone: (724) 583-0620
Fax: (724) 583-0620

Authorised official

Name: Carol Assad
Title: Owner
Phone: (724) 583-0620

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 438900 (PA)

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Registry record

NPI: 1487814430
Entity type: Organization
NPI issued: 12 Jun 2008
Record last updated: 12 Jun 2008

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.