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Organization
NMVA LLC
Active
Organization
NMVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER CARTER (OWNER)
(575) 622-6539
Entity
Organization
Contact information
Practice address
711 W ALAMEDA ST STE B, ROSWELL, NM 88203-4403
(575) 622-6539
Mailing address
711 W ALAMEDA ST STE B, ROSWELL, NM 88203-4403
(575) 622-6539
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/03/2016
Last updated
06/03/2026
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