Organization
SUNBRIDGE HEALTHCARE, LLC
Active
Other names
Langdon Place of Keene
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
(505) 468-5013
Entity
Organization
Contact information
Practice address
136A ARCH ST, KEENE, NH 03431-2186
(603) 357-3902
(603) 358-4017
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
310400000X
Assisted Living Facility
02693
NH
311500000X
Alzheimer Center (Dementia Center)
02693
NH
313M00000X
Nursing Facility/Intermediate Care Facility
02693
NH
314000000X
Skilled Nursing Facility
Primary
02693
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30100462
—
NH
Enumeration date
05/27/2006
Last updated
04/13/2011
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