Healthcare Provider Details

I. General information

NPI: 1952929648
Provider Name (Legal Business Name): CARE INFUSION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4391 E LOHMAN AVE
LAS CRUCES NM
88011-8255
US

IV. Provider business mailing address

4391 E LOHMAN AVE
LAS CRUCES NM
88011-8255
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-2633
  • Fax:
Mailing address:
  • Phone: 575-522-2633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAWN AZZOLINI
Title or Position: MANAGER
Credential:
Phone: 575-520-7286