NPI 1700373453

Evershine Care LLC

Organisation Mental Illness Intermediate Care Facility Las Cruces, NM

Practice location

Address: 4998 Bosworth Rd, Las Cruces, NM 88012-7418
Phone: (575) 382-5973
Mailing address: 4844 Calle Bella Ave, Las Cruces, NM 88012-7066

Authorised official

Name: Ivan Nwaogu
Title: Administrator
Phone: (575) 382-5973

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in New Mexico →

Registry record

NPI: 1700373453
Entity type: Organization
NPI issued: 18 Apr 2018
Record last updated: 18 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.