Organization
SUNBRIDGE CLIPPER HOME OF NORTH CONWAY LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Mineral Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
1251 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5154
(603) 356-7294
(603) 356-3316
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
02454
NH
313M00000X
Nursing Facility/Intermediate Care Facility
02454
NH
314000000X
Skilled Nursing Facility
Primary
02454
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002362
—
NH
Enumeration date
05/25/2006
Last updated
08/17/2018
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