904 WEST MAIN LLC

FARMINGTON, NM
NPI1003517228
Doing Business AsDIRECT MEDICAL TRANSPORT
Entity TypeOrganization
Authorized ContactKURT COOK
Owner
505-793-6750
Organization Subpart ?No
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2023-03-14
Last Update Date2024-09-02
Business Address
904 WEST MAIN LLC
130 AIRPORT DR STE B
FARMINGTON, NM 87401-5520
Phone number: 505-793-6750
Mailing Address
904 WEST MAIN LLC
130 AIRPORT DR STE B
FARMINGTON, NM 87401-5520
Phone number: 505-793-6750