Organization
SUNBRIDGE CARE ENTERPRISES WEST
Active
Other names
SunBridge Care & Rehab for Weed
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
445 PARK ST, WEED, CA 96094-2332
(530) 938-4429
(530) 938-3264
Mailing address
101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05807G
—
CA
Enumeration date
05/28/2006
Last updated
08/22/2020
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