| NPI | 1043680507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA LAPAZ Administrator 505-879-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NM 5115019) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 5115019) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |