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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