Organization
PEAK MEDICAL NEW MEXICO NO. 3 LLC
Active
Parent organization
PEAK MEDICAL, LLC
Other names
Rio Rancho Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK MEDICAL, LLC
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
4210 SABANA GRANDE AVE SE, RIO RANCHO, NM 87124-1152
(505) 892-6603
(505) 891-8774
Mailing address
4210 SABANA GRANDE AVE SE, RIO RANCHO, NM 87124-1152
(505) 892-6603
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1041
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48279315
—
NM
Enumeration date
05/22/2006
Last updated
02/08/2017
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