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Organization

SUNBRIDGE CARE ENTERPRISES LLC

Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Parkersburg Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MR. MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization

Contact information

Practice address
1716 GIHON RD, PARKERSBURG, WV 26101
(304) 485-5511
(304) 485-3511
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
71
WV
314000000X
Skilled Nursing Facility
Primary
71
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004257000
WV
Enumeration date
10/28/2005
Last updated
07/13/2015
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