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Organization
SUNNYBROOK SNF LLC
Active
Organization
SUNNYBROOK SNF LLC
Active
Other names
The Heritage Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BUMPASS (MEMBER)
(254) 399-6788
Entity
Organization
Contact information
Practice address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
Mailing address
410 MONMOUTH AVE, SUITE 130, LAKEWOOD, NJ 08701-3711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
132408
TX
Other
Enumeration date
09/25/2011
Last updated
12/01/2016
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