Sunrise Manor

NPI 1194780189 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1194780189
Enumeration Date 04/20/2006
Last Updated 11/05/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BEVERLY J. BEVERLY
Position EXECUTIVE DIRECTOR
Phone (712) 276-3821
Fax (712) 202-0410
Practice Location
5501 GORDON DR
SIOUX CITY IA, 51106-2008, US
Phone (712) 276-3821
Fax (712) 202-0410
Business Location
5501 GORDON DR
SIOUX CITY IA, 51106-2008, US
Phone (712) 276-3821
Fax (712) 202-0410
Toxanomy
Taxonomy Code 313M00000X
License State Iowa
License Number N-316
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According to our database, Sunrise Manor NPI is 1194780189, taxonomy code is 313M00000X and license number is N-316, license state is located at Iowa. Sunrise Manor physically located at 5501 Gordon Dr, Sioux City IA, 51106-2008. NPI Number 1033115704 has the healthcare provider type.

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1194780189 NPI number is provided on an as is basis without warranty of any kind. 1194780189 is maintained by the National Plan & Provider Enumeration System. The contents of Sunrise Manor are for informational purposes only.