| NPI | 1346310653 |
|---|---|
| Doing Business As | MILAGRO COMMUNITY CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM E LAFRENIERE Billing Manager 575-532-1888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NM 84-180) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-11-15 |