Organization
SAFARI HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON JUMA KAP-KIRWOK RN (OWNER)
(616) 566-3803
Entity
Organization
Contact information
Practice address
2406 WILDWIND RD, LAS CRUCES, NM 88007-5503
(616) 566-3803
(800) 831-5105
Mailing address
2406 WILDWIND RD, LAS CRUCES, NM 88007-5503
(616) 566-3803
(800) 831-5105
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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