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Organization
LAUREL HEALTHCARE OF CLOVIS LLC
Active
Organization
LAUREL HEALTHCARE OF CLOVIS LLC
Active
Other names
Laurel Ridge Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ZAMPINI (MEMBER)
(505) 304-5152
Entity
Organization
Contact information
Practice address
1201 NORTH NORRIS STREET, CLOVIS, NM 88101-6371
(505) 762-3753
(505) 762-7566
Mailing address
1201 NORTH NORRIS STREET, CLOVIS, NM 88101-6371
(505) 762-3753
(505) 762-7566
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32D0700093
CLIA
—
05
—
97886262
—
NM
Enumeration date
10/02/2006
Last updated
08/05/2008
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