Evershine Care LLC
NPI #1700373453 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1700373453
- Entity Type
- Organization
- Organization Name
- Evershine Care LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVERSHINE CARE LLC
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Apr 18, 2018
- Last Updated
- Apr 18, 2018
Practice Location
- Address
- 4998 BOSWORTH RD
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88012-7418
- Phone
- (575) 382-5973
Authorized Official
- Name
- DR. IVAN NWAOGU, PHARMD
- Title
- ADMINISTRATOR
- Phone
- (575) 382-5973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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