NPI 1134243892

Fairhaven II Quality Assisted Living

Organisation Assisted Living Facility Clovis, NM

Practice location

Address: 512 Wrangler Way, Clovis, NM 88101-2917
Phone: (505) 763-8100
Mailing address: 200 Murray Dr, Clovis, NM 88101-4349

Authorised official

Name: Daniel J Stoddard
Title: Owner
Phone: (505) 763-8100

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 5871 (NM)

Other Assisted Living Facility providers in New Mexico →

Registry record

NPI: 1134243892
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 22 Aug 2020

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.