Organization
FIRSTLINE HEALTHCARE AND GENERAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMOSEHIN MOYEBI PHD (CEO)
(505) 409-7614
Entity
Organization
Contact information
Practice address
905 PLATEAU CIR, GALLUP, NM 87301-4836
(505) 409-7614
Mailing address
905 PLATEAU CIR, GALLUP, NM 87301-4836
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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