Organization · NPI-2

20/30 Sunrise Manor INC.

Assisted Living Facility · Clearwater, FL

NPI number1760649891
StatusActive
Last updated in NPPESMay 16, 2008

Details

NPI
1760649891
Entity type
Organization (NPI-2)
Legal business name
20/30 Sunrise Manor INC.
Organization subpart
No
Enumeration date
May 16, 2008
Last updated
May 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living FacilityAL 11240FLYes

Practice location

2030 N Highland Ave
Clearwater, FL 33755-1323

Phone 727-442-3767 · Fax 727-412-8618

Mailing address

2030 N Highland Ave
Clearwater, FL 33755-1323

Phone 727-442-3767 · Fax 727-412-8618

Authorized official

Ernest E. Bell
Owner
7274304428

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