| |
2300 N Main St Ste 19, Clovis, NM 88101-3573 | |
(575) 769-0049 | |
(575) 742-3368 |
Full Name | |
---|---|
Type | Facility |
Speciality | Home Health |
Location | 2300 N Main St Ste 19, Clovis, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134174063 | NPI | - | NPPES |
61237809 | Medicaid | NM | |
3187 | Other | NM | STATE OPERATOR LICENSE |
091628873 | Medicaid | NM |
Mailing Address | Practice Location Address |
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3223 S Loop 289 Ste 210, Lubbock, TX 79423-1352 Ph: (806) 771-0995 | 2300 N Main St Ste 19, Clovis, NM 88101-3573 Ph: (575) 769-0049 |