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NPI Code Detail

MEDICARE: FIRST LOS ALAMOS CARE

MEDICARE: FIRST LOS ALAMOS CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1659203834
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST LOS ALAMOS CARE
Provider Business Mailing Address
First Line : 510 CENTRAL AVE APT 703
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-3312
Country : US
Telephone Number : 832-207-4657
Fax Number :
Provider Business Practice Location Address
First Line : 510 CENTRAL AVE APT 703
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-3312
Country : US
Telephone Number : 832-207-4657
Fax Number :
Authorized Official
Title or Position : HOMECARE
Name : NNEKA G ANYICHIE
Credential :
Telephone Number : 832-207-4657
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “FIRST LOS ALAMOS CARE ” Practice Location

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