Provider Demographics
NPI:1770621112
Name:LANDMARK DEVELOPMENT, LTD.
Entity type:Organization
Organization Name:LANDMARK DEVELOPMENT, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-623-2233
Mailing Address - Street 1:PO BOX 1793
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88202-1793
Mailing Address - Country:US
Mailing Address - Phone:505-623-2233
Mailing Address - Fax:505-623-2211
Practice Address - Street 1:800 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-4913
Practice Address - Country:US
Practice Address - Phone:505-623-8888
Practice Address - Fax:505-623-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies