Organization Name: | JUSTUS, LLC |
NPI Number: | 1255433579 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W. METZ (CFO) |
Mailing Address: | 3812 Academy Parkway North Ne Albuquerque |
State: | NM US |
Postal Code: | 871094409 |
Phone Number: | 5052172490 |
Fax Number: | 5058731060 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2T3217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |