Organization
SUNBRIDGE HEALTHCARE LLC
Active
Other names
Willows Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAMS A. MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
320 N CRAWFORD AVE, WILLOWS, CA 95988-2326
(530) 934-2834
(530) 934-7057
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
230000054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55151G
—
CA
05
—
LTC70066G
—
CA
Enumeration date
05/28/2006
Last updated
04/13/2020
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