Fairhaven Ii Quality Assisted Living

NPI 1134243892 - Assisted Living Facility - 310400000X

NPI Details
NPI 1134243892
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANIEL J DANIEL
Position OWNER
Phone (505) 763-8100
Fax
Practice Location
512 WRANGLER WAY
CLOVIS NM, 88101-2917, US
Phone (505) 763-8100
Fax
Business Location
200 MURRAY DR
CLOVIS NM, 88101-4349, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State New Mexico
License Number 5871
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According to our database, Fairhaven Ii Quality Assisted Living NPI is 1134243892, taxonomy code is 310400000X and license number is 5871, license state is located at New Mexico. Fairhaven Ii Quality Assisted Living physically located at 512 Wrangler Way, Clovis NM, 88101-2917. NPI Number 1033115704 has the healthcare provider type.

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1134243892 NPI number is provided on an as is basis without warranty of any kind. 1134243892 is maintained by the National Plan & Provider Enumeration System. The contents of Fairhaven Ii Quality Assisted Living are for informational purposes only.