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Organization
FIRSTLINE HEALTHCARE AND GENERAL SERVICES, LLC
Active
Organization
FIRSTLINE HEALTHCARE AND GENERAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMOSEHIN MOYEBI PHD (CEO)
(505) 409-7614
Entity
Organization
Contact information
Practice address
905 PLATEAU CIR, GALLUP, NM 87301-4836
(505) 409-7614
Mailing address
905 PLATEAU CIR, GALLUP, NM 87301-4836
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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