Organization · Type 2 NPI

Senior Citizen Resident Center

Assisted Living Facility · Clovis, NM

NPI number 1508020975 Active

Practice location

2210 Marby Drive
Clovis, NM 88101-8306

Fax (575) 769-1553

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X5539 (NM)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1508020975

Senior Citizen Resident Center's National Provider Identifier is 1508020975, issued on Jul 15, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clovis, NM. The record was last updated on Jul 13, 2011.