NPI 1508020975 SENIOR CITIZEN RESIDENT CENTER CLOVIS NM. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Senior Citizen Resident Center - NPI: 1508020975

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SENIOR CITIZEN RESIDENT CENTER
NPI Number: 1508020975
Entity Type Code: Organizational (2)
Authorized Official Name: VIRGINIA LOUISE SHONKWILER
(ASSISTANT ADMINISTRATOR)
Mailing Address: 2210 Marby Drive
Clovis
State: NM US
Postal Code: 881018306
Phone Number: 5757628052
Fax Number: 5757691553
NPI Enumeration Date: 07/15/2008
NPI Last Update Date: 07/13/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 310400000X
License Number: 5539
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.


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