Organization
CLOVIS SKILLED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KIRBY (MANAGER)
(619) 201-5888
Entity
Organization
Contact information
Practice address
111 BARSTOW AVE, CLOVIS, CA 93612-2225
(559) 299-2591
Mailing address
1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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