Organization
OPTION 1 NUTRITION SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LLOYD WILEY (PRESIDENT CEO)
(480) 883-1188
Entity
Organization
Contact information
Practice address
3600 OSUNA RD NE, ALBUQUERQUE, NM 87109-4426
(480) 883-1188
Mailing address
PO BOX 841042, DALLAS, TX 75284-1042
(480) 883-1188
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41970721
—
NM
Enumeration date
11/02/2006
Last updated
10/09/2007
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