# PH OPS OF LAS ESTANCIAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Las Estancias by Pure Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700523750
- **Authorized official:** SIOBAUGHN FRASER (DIRECTOR OF FINANCE)
- **Authorized official phone:** (561) 801-4235

## Contact information

- **Practice address:** 3620 LAS ESTANCIAS DR SW, ALBUQUERQUE, NM 87121-5504
- **Practice address phone:** (505) 253-9600
- **Mailing address:** 2000 PGA BLVD STE 3230, NORTH PALM BEACH, FL 33408-2718
- **Mailing address phone:** (561) 801-4235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2022
- **Last updated:** 01/19/2023