Healthcare Provider Details

I. General information

NPI: 1558068049
Provider Name (Legal Business Name): JUST HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 MORNINGSIDE DR SE
ALBUQUERQUE NM
87108-2633
US

IV. Provider business mailing address

202 MORNINGSIDE DR SE
ALBUQUERQUE NM
87108-2633
US

V. Phone/Fax

Practice location:
  • Phone: 505-266-0888
  • Fax:
Mailing address:
  • Phone: 505-266-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDRU ZELLER
Title or Position: OWNER
Credential: MD
Phone: 505-266-0888