Organization
SUNBRIDGE HEALTHCARE CORPORATION
Active
Other names
Hammond House Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
18 HAMMOND ST, WORCESTER, MA 01610-1513
(508) 799-7991
(508) 799-5325
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
313M00000X
Nursing Facility/Intermediate Care Facility
0113
MA
314000000X
Skilled Nursing Facility
Primary
0113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927791
—
MA
Enumeration date
05/19/2006
Last updated
09/29/2009
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