# SUNRISE LIFESTYLE CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNRISE LIFESTYLE CENTERS LLC
- **Other names:** Sunrise Health Centers
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023075561
- **Legal business name:** SUNRISE LIFESTYLE CENTERS LLC
- **Authorized official:** JEFF T GRADE (CEO)
- **Authorized official phone:** (847) 656-0353

## Contact information

- **Practice address:** 658 KENILWORTH DR, SUITE 100, TOWSON, MD 21204-2312
- **Practice address phone:** (410) 296-4901
- **Practice address fax:** (410) 296-4971
- **Mailing address:** 40 SKOKIE BLVD, SUITE 440, NORTHBROOK, IL 60062-1601
- **Mailing address phone:** (847) 656-0353
- **Mailing address fax:** (847) 656-0358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | MD | Yes |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 09/12/2007