ACACIA FAMILY CARE LLC; NPI #1326612300

Contact Information

ACACIA FAMILY CARE LLC

1717 W 2ND ST STE 101
ROSWELL, NM 88201-2027

Phone: 575-205-0754
Fax: 575-205-0758
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ACACIA FAMILY CARE LLC

NPI #	`1326612300`
LBN Legal business name	ACACIA FAMILY CARE LLC
Authorized official	KRISTY BELL - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/14/2021
Last updated	03/22/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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