Organization
EVERSHINE CARE LLC
Active
Parent organization
EVERSHINE CARE LLC
Other names
Evershine Care LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERSHINE CARE LLC
Authorized official
DR. IVAN NWAOGU PHARMD (ADMINISTRATOR)
(443) 854-4727
Entity
Organization
Contact information
Practice address
4681 JOSEPH H LN, LAS CRUCES, NM 88012-9599
(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
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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