Organization
PH OPS OF LAS ESTANCIAS LLC
Active
Other names
Las Estancias by Pure Health
Organization subpart
No
Provider details
NPI number
Authorized official
SIOBAUGHN FRASER (DIRECTOR OF FINANCE)
(561) 801-4235
Entity
Organization
Contact information
Practice address
3620 LAS ESTANCIAS DR SW, ALBUQUERQUE, NM 87121-5504
(505) 253-9600
Mailing address
2000 PGA BLVD STE 3230, NORTH PALM BEACH, FL 33408-2718
(561) 801-4235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
01/19/2023
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