| NPI | 1093691784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY IGBADUMHE Owner 505-306-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |