| NPI | 1134594054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN LUKE COOKE General Manager 505-979-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |