Organization
DIVINE CARE MEDICALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN CHINEDU NWOSU (DIRECTOR)
(575) 499-6916
Entity
Organization
Contact information
Practice address
1102 W URAL DR, CARLSBAD, NM 88220-4059
(575) 499-6916
Mailing address
1102 W URAL DR, CARLSBAD, NM 88220-4059
(575) 499-6916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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