PICURIS PUEBLO

PENASCO, NM
NPI1073181061
Entity TypeOrganization
Authorized ContactCRAIG QUANCHELLO
Governor, Picuris Pueblo
575-587-2519
Organization Subpart ?No
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies251B00000X Case Management
1041C0700X Social Worker, Clinical
251S00000X 
3416L0300X Ambulance, Land Transport
Enumeration Date2021-06-15
Last Update Date2023-01-30
Business Address
PICURIS PUEBLO
201 A PUEBLO VIEW ROAD
PENASCO, NM 87553
Phone number: 575-587-2519
Mailing Address
PICURIS PUEBLO
PO BOX 127
PENASCO, NM 87553
Phone number: 575-587-2519