| NPI | 1629230966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MARIE WHITE Chief Financial Officer 505-272-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 6005) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-01-08 |