Provider Demographics
NPI:1932347028
Name:CLV ENTERPRISES, LLC
Entity Type:Organization
Organization Name:CLV ENTERPRISES, LLC
Other - Org Name:COMFORT KEEPERS # 706
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-778-2222
Mailing Address - Street 1:330 N STATE COLLEGE BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2928
Mailing Address - Country:US
Mailing Address - Phone:714-778-2222
Mailing Address - Fax:714-778-1072
Practice Address - Street 1:330 N STATE COLLEGE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-2928
Practice Address - Country:US
Practice Address - Phone:714-778-2222
Practice Address - Fax:714-778-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care