Organization
CAPYBARA LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADESUWA IFEANYI-OGBODO RN (NURSE PRACTIONER)
(620) 704-7055
Entity
Organization
Contact information
Practice address
6512 CROSS BROOK DR, PEWEE VALLEY, KY 40056-9022
(620) 704-7055
Mailing address
12050 CANDELARIA RD NE, ALBUQUERQUE, NM 87112-6401
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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