| NPI | 1164473153 |
|---|---|
| Doing Business As | SUNBRIDGE CARE & REHAB - BROADWAY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MATHIES President Director 505-821-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0257) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 0257) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2009-09-29 |