Organization
SUNBRIDGE RETIREMENT CARE ASSOCIATES, LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
River Towne Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
THOMAS DIVITTORIO (PRESIDENT DIRECTOR)
(610) 444-6350
Entity
Organization
Contact information
Practice address
5131 WARM SPRINGS RD, COLUMBUS, GA 31909-4196
(706) 561-1371
(706) 561-4055
Mailing address
101 E STATE ST, REIMBURSEMENT DEPARTMENT, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
(610) 444-4395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11061414
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00082684A
—
GA
Enumeration date
05/13/2006
Last updated
07/28/2014
About Stedi
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