Organization
GREAT FALLS HEALTH CARE COMPANY, LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
The Lodge Senior Living Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE CORPORATION
Authorized official
WILLIAM A. MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
1801 9TH ST S, GREAT FALLS, MT 59405-5608
(406) 771-7440
(406) 771-7443
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
Primary
10488
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820318
—
MT
Enumeration date
05/22/2006
Last updated
09/28/2009
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