Evershine Care, LLC
NPI #1043688088 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1043688088
- Entity Type
- Organization
- Organization Name
- Evershine Care, LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Sep 8, 2015
- Last Updated
- Sep 8, 2015
Practice Location
- Address
- 4844 CALLE BELLA AVE
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88012-7066
- Phone
- (575) 382-5973
Authorized Official
- Name
- DR. IVAN NNAMDI NWAOGU, PHARMD
- Title
- ADMINISTRATOR
- Phone
- (575) 382-5973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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