# LAUREL SKIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurel Skies Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275642803
- **Authorized official:** MR. ALAN ZAMPINI (MEMBER)
- **Authorized official phone:** (505) 304-5152

## Contact information

- **Practice address:** 9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
- **Practice address phone:** (505) 898-7986
- **Practice address fax:** (505) 898-0024
- **Mailing address:** 9150 MCMAHON NW, ALBUQUERQUE, NM 87114-5201
- **Mailing address phone:** (505) 898-7986
- **Mailing address fax:** (505) 898-0024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1045 | NM | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3200534490 | CLIA | — |
| 05 | — | 56076061 | — | NM |