# SUNSET MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookcrest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154324754
- **Authorized official:** MS. LORI HERBIG (EXECUTIVE DIRECTOR - BROOKCREST)
- **Authorized official phone:** (616) 534-5487

## Contact information

- **Practice address:** 3400 WILSON AVE SW, GRANDVILLE, MI 49418-1854
- **Practice address phone:** (616) 534-5487
- **Practice address fax:** (616) 534-2150
- **Mailing address:** 3400 WILSON AVE SW, GRANDVILLE, MI 49418-1854
- **Mailing address phone:** (616) 534-5487
- **Mailing address fax:** (616) 534-2150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 414030 | MI | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2154383 | — | MI |