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SUNBRIDGE HEALTHCARE LLC

Assisted Living Facility

Nampa, Idaho

Provider NPI: 1790732337

Organization Information:
Organization Name:  SUNBRIDGE HEALTHCARE LLC


Practice Location:
2609 SUNNYBROOK DR  NAMPA, ID 83686 US
Tel: 208-467-7298  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
ID46
N311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
ID46
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
ID46

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELD OF IDAHO000010022479ID01
TRUE BLUE02188ID01
8056570ID05
0029216ID05
BLUE CROSS OF IDAHO02188ID01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ASSISTED LIVING JOBS ID - Page 1