Organization
SUNBRIDGE HEALTHCARE LLC
Active
Other names
Sandalwood Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORRGE V HAGER (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
3 PINE ST, OXFORD, MA 01540-2177
(508) 987-8417
(508) 987-2218
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
4103
MA
313M00000X
Nursing Facility/Intermediate Care Facility
4103
MA
314000000X
Skilled Nursing Facility
Primary
4103
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927724
—
MA
Enumeration date
05/18/2006
Last updated
02/12/2013
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