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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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