| NPI | 1235938762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEMAGEN THEODORE BENNETT Manager 505-728-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2025-03-08 |