| 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 |