NPI | 1700373453 |
---|---|
Doing Business As | EVERSHINE CARE LLC |
Entity Type | Organization |
Authorized Contact | IVAN NWAOGU Administrator 575-382-5973 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
Enumeration Date | 2018-04-18 |
Last Update Date | 2018-04-18 |