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NPI Code Detail

MEDICARE: SUNBRIDGE BRITTANY REHABILITATION CENTER LLC

MEDICARE: SUNBRIDGE BRITTANY REHABILITATION CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility30000404CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639126287
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNBRIDGE BRITTANY REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 101 SUN AVE NE
Second Line : COMPLIANCE DEPARTMENT
City : ALBUQUERQUE
State : NM
Zip : 87109-4373
Country : US
Telephone Number : 505-468-5604
Fax Number : 505-468-4681
Provider Business Practice Location Address
First Line : 3900 GARFIELD AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-6647
Country : US
Telephone Number : 916-481-6455
Fax Number : 916-481-6489
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MICHAEL BERG
Credential :
Telephone Number : 505-468-4742
Provider Enumeration Date : 05/28/2006
Last Update Date : 07/13/2015

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Directions to “SUNBRIDGE BRITTANY REHABILITATION CENTER LLC ” Practice Location

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