Organization
INTELI-CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ONESIMO C. VIGIL BS, MBA (CEO)
(505) 898-9745
Entity
Organization
Contact information
Practice address
2116 VISTA OESTE NW STE 102, ALBUQUERQUE, NM 87120-4340
(505) 898-9745
(505) 884-8667
Mailing address
2116 VISTA OESTE NW STE 102, ALBUQUERQUE, NM 87120-4340
(505) 898-9745
(505) 884-8667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06274081
—
NM
05
—
63430061
—
NM
05
—
820408
—
AZ
05
—
85277304
—
NM
Enumeration date
09/20/2006
Last updated
02/16/2018
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