Organization
SUNBRIDGE STATESBORO HEALTH CARE CENTER, INC.
Active
Other names
SunBridge Care & Rehab for Statesboro
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
(505) 468-5013
Entity
Organization
Contact information
Practice address
226 S COLLEGE ST, STATESBORO, GA 30458-5299
(912) 764-9631
(912) 764-8384
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
314000000X
Skilled Nursing Facility
Primary
10161462
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140434A
—
GA
Enumeration date
05/11/2006
Last updated
08/22/2020
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