Provider Demographics
NPI:1568289171
Name:MM OPS ALBUQUERQUE LLC
Entity type:Organization
Organization Name:MM OPS ALBUQUERQUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMPION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-801-4235
Mailing Address - Street 1:2000 PGA BLVD STE 3230
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2718
Mailing Address - Country:US
Mailing Address - Phone:561-801-4235
Mailing Address - Fax:
Practice Address - Street 1:5201 ROMA AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1334
Practice Address - Country:US
Practice Address - Phone:505-262-2311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility