1400 WEST 21ST STREET OPCO, LLC

Skilled Nursing Facility · CLOVIS, NM

Organization Active NPI 1205782729

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Skilled Nursing Facility314000000X

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

1400 WEST 21ST STREET OPCO, LLC — NPI 1205782729