Organization
FAMILY FAITH MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKERRA L KEE (OWNER/CEO)
(505) 879-6971
Entity
Organization
Contact information
Practice address
1710 MESQUITE DR, GALLUP, NM 87301-5741
(505) 879-6971
(505) 488-2495
Mailing address
1710 MESQUITE DR, GALLUP, NM 87301-5741
(505) 879-6971
(505) 488-2495
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326412198
—
NM
Enumeration date
02/02/2018
Last updated
01/05/2026
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