| NPI | 1457698995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE REDFETHER Owner 505-368-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: AZ D00249013) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ D00249013) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |