Organization
NEW MEXICO SUPPORT NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON JUMA KAP-KIRWOK (LPN)
(616) 566-3803
Entity
Organization
Contact information
Practice address
735 S MESQUITE ST, LAS CRUCES, NM 88001-3622
(616) 566-3803
Mailing address
735 S MESQUITE ST, LAS CRUCES, NM 88001-3622
(616) 566-3803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
02/28/2025
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