Organization
LAUREL CANYON LLC
Active
Other names
Laurel Canyon Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ZAMPINI (MEMBER)
(505) 304-5152
Entity
Organization
Contact information
Practice address
10101 LAGRIMA DE ORO NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
(505) 298-2098
Mailing address
10101 LAGRIMA DE ORO NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
(505) 298-2098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1043
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3200862609
CLIA
—
05
—
79123295
—
NM
Enumeration date
08/31/2006
Last updated
08/05/2008
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