Organization
CAPACITY BUILDERS INC
Active
Other names
Lou Go's
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE OFTEDAHL (BOARD OF DIRECTORS)
(505) 326-4245
Entity
Organization
Contact information
Practice address
418 W BROADWAY, FARMINGTON, NM 87401
(505) 324-6568
Mailing address
418 W BROADWAY, FARMINGTON, NM 87401
(505) 324-6568
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
56885
NM
344600000X
Taxi
56885
NM
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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