# FIRSTLINE HEALTHCARE AND GENERAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770266108
- **Authorized official:** DR. OMOSEHIN MOYEBI PHD (CEO)
- **Authorized official phone:** (505) 409-7614

## Contact information

- **Practice address:** 905 PLATEAU CIR, GALLUP, NM 87301-4836
- **Practice address phone:** (505) 409-7614
- **Mailing address:** 905 PLATEAU CIR, GALLUP, NM 87301-4836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/11/2023
- **Last updated:** 08/11/2023