Individual
MR. MARVIN DWIGHT GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 W 5TH ST, CLOVIS, NM 88101-7302
(575) 762-9352
(575) 763-3652
Mailing address
106 W 5TH STREET, K-BEE HOMECARE SERVICES LLC, CLOVIS, NM 88101-7302
(575) 762-9356
(575) 763-3652
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88127303
—
NM
Enumeration date
03/08/2011
Last updated
06/14/2024
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