Provider Demographics
NPI:1790154565
Name:CLEARVIEW HEALTH GROUP
Entity Type:Organization
Organization Name:CLEARVIEW HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANESER
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOULARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-631-7502
Mailing Address - Street 1:1075 NEW ST E
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-5638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1075 NEW ST E
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5638
Practice Address - Country:US
Practice Address - Phone:386-631-7502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility