NPI | 1053054999 |
---|---|
Doing Business As | SKYLINE |
Entity Type | Organization |
Authorized Contact | DANIEL EDWARD HERRERA Owner/ Registered Respiratory Thera 505-391-9031 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-04-19 |