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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