Rockin J Reawakenings, Inc
Organization Active NPI Voluntary or Charitable Agency · Prewitt, NM
NPI 1497318976 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1497318976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Voluntary or Charitable Agency 251V00000X
- Legal business name
- ROCKIN J REAWAKENINGS, INC
- Practice address
- 234 County Road 19
Prewitt, NM 87045-8704 - Phone
- (505) 409-7764
- NPI assigned
- Apr 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Jess Alan Butler
- Title
- Director
- Phone
- (505) 409-7764
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Yes |
Addresses
Primary practice location
234 County Road 19
Prewitt, NM 87045-8704
Mailing address
PO Box 555
Prewitt, NM 87045-0555
Phone (505) 577-2356
Other providers in Prewitt, NM
All providers in Prewitt, NM · Voluntary or Charitable Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.