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Organization

1405 S. MONROE STREET OPERATIONS LLC

Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
MONROE HOUSE, A SENIOR LIVING COMMUNITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL T BERG (AUTHORIZED OFFICIAL)
(505) 468-4742
Entity
Organization

Contact information

Practice address
1405 S MONROE ST, MOSES LAKE, WA 98837-4628
(509) 765-2200
(509) 765-2201
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000
LICENSE
WA
Enumeration date
04/29/2019
Last updated
04/29/2019
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