SUNBRIDGE HEALTHCARE LLC
Alzheimer Center
Moses Lake, Washington
Provider NPI: 1568402295
Organization Information:Organization Name: SUNBRIDGE HEALTHCARE LLC
Practice Location:
817 E PLUM ST MOSES LAKE, WA 98837 US
Tel: 509-765-7835 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
817 E PLUM ST MOSES LAKE, WA 98837 US
Tel: 509-765-7835 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | WA | NH1152 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WA | NH1152 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4114435 | WA | 05 | |
MSC/PREMERA BLUE CROSS | 583 | WA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin