NPI | 1346622651 |
---|---|
Former Legal Business Name | RAINBOW'S LEGACY |
Entity Type | Organization |
Authorized Contact | RAQUEL MARIE EMANUEL Office Manager 575-525-9960 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM 5603) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2015-06-23 |