Healthcare Provider Details

I. General information

NPI: 1538979174
Provider Name (Legal Business Name): PARENTS REACHING OUT TO HELP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 MASTHEAD ST NE STE C
ALBUQUERQUE NM
87109-4574
US

IV. Provider business mailing address

5130 MASTHEAD ST NE STE C
ALBUQUERQUE NM
87109-4574
US

V. Phone/Fax

Practice location:
  • Phone: 505-247-0192
  • Fax:
Mailing address:
  • Phone: 505-247-0192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER DONELLI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-247-0192