| NPI | 1538167689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DAVIS Owner/CEO 505-937-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NM 03-011885-00-9) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |