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1134243892
FAIRHAVEN II QUALITY ASSISTED LIVING
CLOVIS, NM
NPI
1134243892
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Entity Type
Organization
Authorized Contact
DANIEL J STODDARD
Owner
505-763-8100
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: NM 5871)
Enumeration Date
2007-03-19
Last Update Date
2020-08-22
Business Address
FAIRHAVEN II QUALITY ASSISTED LIVING
512 WRANGLER WAY
CLOVIS, NM 88101-2917
Phone number: 505-763-8100
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Mailing Address
FAIRHAVEN II QUALITY ASSISTED LIVING
200 MURRAY DR
CLOVIS, NM 88101-4349
Phone number:
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