# SUNBRIDGE CARE ENTERPRISES WEST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SunBridge Care & Rehab for Weed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740237379
- **Authorized official:** WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (505) 821-3355

## Contact information

- **Practice address:** 445 PARK ST, WEED, CA 96094-2332
- **Practice address phone:** (530) 938-4429
- **Practice address fax:** (530) 938-3264
- **Mailing address:** 101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
- **Mailing address phone:** (505) 468-5604
- **Mailing address fax:** (505) 468-4681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05807G | — | CA |