Senior Citizen Resident Center
NPI #1508020975 in Clovis, New Mexico
Provider Information
- NPI Number
- 1508020975
- Entity Type
- Organization
- Organization Name
- Senior Citizen Resident Center
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 15, 2008
- Last Updated
- Jul 13, 2011
Practice Location
- Address
- 2210 MARBY DRIVE
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-8306
- Phone
- (575) 762-8052
Authorized Official
- Name
- MRS. VIRGINIA LOUISE SHONKWILER
- Title
- ASSISTANT ADMINISTRATOR
- Phone
- (575) 762-8052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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