NPI 1508020975

Senior Citizen Resident Center

Organisation Assisted Living Facility Clovis, NM

Practice location

Address: 2210 Marby Drive, Clovis, NM 88101-8306
Phone: (575) 762-8052
Fax: (575) 769-1553

Authorised official

Name: Virginia Louise Shonkwiler
Title: Assistant Administrator
Phone: (575) 762-8052

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 5539 (NM)

Other Assisted Living Facility providers in New Mexico →

Registry record

NPI: 1508020975
Entity type: Organization
NPI issued: 15 Jul 2008
Record last updated: 13 Jul 2011

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.