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Organization
LAUREL HEALTHCARE OF CLOVIS LLC
Active
Organization
LAUREL HEALTHCARE OF CLOVIS LLC
Active
Other names
Laurel Plains Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ZAMPINI (MEMBER)
(505) 304-5152
Entity
Organization
Contact information
Practice address
1400 WEST 21ST STREET, CLOVIS, NM 88101-4153
(505) 762-4705
(505) 762-4199
Mailing address
1400 WEST 21ST STREET, CLOVIS, NM 88101-4153
(505) 762-4705
(505) 762-4199
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1012
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3200537311
CLIA
—
05
—
48102067
—
NM
Enumeration date
08/31/2006
Last updated
08/05/2008
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