Organization
SUNBRIDGE HEALTHCARE LLC
Active
Other names
River City Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 355-6911
Mailing address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 355-6911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
16974
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47511305
—
AL
Enumeration date
05/11/2006
Last updated
03/30/2017
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