FAIRHAVEN II QUALITY ASSISTED LIVING NPI 1134243892

NPI Information

FAIRHAVEN II QUALITY ASSISTED LIVING is an assisted living facility in Clovis, NM. The provider is 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. FAIRHAVEN II QUALITY ASSISTED LIVING NPI is 1134243892. The provider is registered as an organization entity type.

The provider's business location address is:

512 WRANGLER WAY
CLOVIS, NM
ZIP 88101-917
Phone: (505) 763-8100

The provider's authorized official is Daniel J Stoddard .
The authorized official title is Owner and has the following contact phone number (505) 763-8100.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.