Organization
LOS ALAMOS RETIREMENT CENTER, INC.
Active
Other names
Sombrillo Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JEREMY MARTIN (PRESIDENT, HERITAGE MANAGEMENT)
(505) 468-0219
Entity
Organization
Contact information
Practice address
1011 SOMBRILLO CT, LOS ALAMOS, NM 87544-3246
(505) 662-4300
(505) 662-2630
Mailing address
1011 SOMBRILLO CT, LOS ALAMOS, NM 87544-3246
(505) 662-4300
(505) 662-2630
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
5180
NM
314000000X
Skilled Nursing Facility
Primary
5180
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I0571
—
NM
Enumeration date
06/29/2006
Last updated
01/19/2022
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