Organization
SUNBRIDGE HEALTHCARE LLC
Active
Other names
Glenwood Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE V HAGER (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
557 VARNUM AVE, LOWELL, MA 01854-2137
(978) 454-5444
(978) 454-0303
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
3920
MA
313M00000X
Nursing Facility/Intermediate Care Facility
3920
MA
314000000X
Skilled Nursing Facility
Primary
3920
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927821
—
MA
Enumeration date
05/13/2006
Last updated
02/12/2013
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