Organization
EVERSHINE CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN NWAOGU PHARMD (ADMINISTRATOR)
(575) 652-4156
Entity
Organization
Contact information
Practice address
1213 JUNIPER AVE, LAS CRUCES, NM 88001-2157
(575) 382-5973
Mailing address
4844 CALLE BELLA AVE, LAS CRUCES, NM 88012-7066
(575) 382-5973
(575) 541-3635
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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