Fairhaven II Quality Assisted Living
NPI #1134243892 in Clovis, New Mexico
Provider Information
- NPI Number
- 1134243892
- Entity Type
- Organization
- Organization Name
- Fairhaven II Quality Assisted Living
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 512 WRANGLER WAY
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-2917
- Phone
- (505) 763-8100
Authorized Official
- Name
- DANIEL J STODDARD
- Title
- OWNER
- Phone
- (505) 763-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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