Organization
SUNBRIDGE HEALTHCARE LLC
Active
Other names
Langdon Place of Dover
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE V HAGER (PRESIDENT DIRECTOR)
(505) 468-5013
Entity
Organization
Contact information
Practice address
60 MIDDLE RD, DOVER, NH 03820-4146
(603) 743-4110
(603) 740-4572
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
02695
NH
311500000X
Alzheimer Center (Dementia Center)
02695
NH
313M00000X
Nursing Facility/Intermediate Care Facility
02695
NH
314000000X
Skilled Nursing Facility
Primary
02695
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30100460
—
NH
01
—
305089
ALABAMA BC BS
AL
01
—
305089
CONN BC BS
CT
01
—
305089
MASS BC BS
MA
01
—
305089
MAINE BC BS
ME
01
—
305089
MICHIGAN BC BS
MI
01
—
305089
NH BC BS
NH
01
—
305089
VT BC BS
VT
01
—
305089
FEDERAL BC BS
—
Enumeration date
05/26/2006
Last updated
02/12/2013
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