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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
WANH1152
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
WANH1152

Other Provider Identifiers:

IssuerNumberStateType
4114435WA05
MSC/PREMERA BLUE CROSS583WA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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