| NPI | 1386948842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GOODKIN President 505-353-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 532) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |