| NPI | 1194060053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GALLEGOS Administrative Support Supervisor 505-272-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: NM 91-90) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |