| Organization Name: | WHEATFIELDS SENIOR LIVING COMMUNITY |
| NPI Number: | 1154683654 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC W. JACOBSEN (MEMBER) |
| Mailing Address: | 4701 N Prince Street Clovis |
| State: | NM US |
| Postal Code: | 88101 |
| Phone Number: | 5757628700 |
| Fax Number: | 5757628701 |
| NPI Enumeration Date: | 06/11/2012 |
| NPI Last Update Date: | 06/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | T1 2191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |