Organization
SENIOR CITIZEN RESIDENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA LOUISE SHONKWILER (ASSISTANT ADMINISTRATOR)
(575) 762-8052
Entity
Organization
Contact information
Practice address
2210 MARBY DRIVE, CLOVIS, NM 88101-8306
(575) 762-8052
(575) 769-1553
Mailing address
2210 MARBY DRIVE, CLOVIS, NM 88101-8306
(575) 762-8052
(575) 769-1553
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5539
NM
Other
Enumeration date
07/15/2008
Last updated
07/13/2011
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