| NPI | 1740951672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON LINES Medical Office Manager 505-489-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-10-06 |