NPI 1033442272

Senior Community Services

Organisation Assisted Living Facility Clovis, NM

Practice location

Address: 200 Murray Dr, Clovis, NM 88101-4349
Phone: (505) 799-6162
Mailing address: 1148 Blue Hole Rd, Santa Rosa, NM 88435-2546

Authorised official

Name: Daniel J Stoddard
Title: Owner/President
Phone: (575) 763-8100

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 2157 (NM)

Other Assisted Living Facility providers in New Mexico →

Registry record

NPI: 1033442272
Entity type: Organization
NPI issued: 4 Sep 2009
Record last updated: 4 Sep 2009

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.