Sunbridge West Tennessee, Llc.

NPI #1629025135 in Trenton, Tennessee

Provider Information

NPI Number
1629025135
Entity Type
Organization
Organization Name
Sunbridge West Tennessee, Llc.
Subpart
Yes (part of a larger organization)
Parent Organization
SUNBRIDGE HEALTHCARE LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 28, 2006
Last Updated
Aug 17, 2018

Practice Location

Address
2036 US HIGHWAY 45 BYP S
ZIP Code
38382-2941
Phone
(731) 855-4500

Authorized Official

Name
THOMAS DIVITTORIO
Title
PRESIDENT DIRECTOR
Phone
(505) 821-3355

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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