Organization
SAHARA MOTEL N M INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAO MING GONG PRESIDENT (PRESIDENT)
(505) 712-0239
Entity
Organization
Contact information
Practice address
5915 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4835
(505) 256-9803
(505) 254-1395
Mailing address
5915 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4835
(505) 256-9803
(505) 254-1395
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
02493955002
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177F00000X
LODGING
NM
Enumeration date
05/14/2007
Last updated
06/20/2008
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