| NPI | 1790732337 |
|---|---|
| Doing Business As | SUNNY RIDGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 46) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: ID 46) |
| 311Z00000X Custodial Care Facility (Licence: ID 46) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2017-03-27 |