Organization
PEAK MEDICAL NEW MEXICO NO. 3 LLC
Active
Parent organization
PEAK MEDICAL, LLC
Other names
Ladera 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
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 836-0023
(505) 836-5169
Mailing address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 836-0023
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1037
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09280740
—
NM
Enumeration date
05/22/2006
Last updated
02/08/2017
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