# SUNRISE VIEW CONVALESCENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164467734
- **Authorized official:** DIANE LOPES (ADMINISTRATOR)
- **Authorized official phone:** (425) 353-4040

## Contact information

- **Practice address:** 2520 MADISON ST, EVERETT, WA 98203-4868
- **Practice address phone:** (425) 353-4040
- **Practice address fax:** (425) 356-2235
- **Mailing address:** 2520 MADISON ST, EVERETT, WA 98203-4868
- **Mailing address phone:** (425) 353-4040
- **Mailing address fax:** (425) 356-2235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1166 | WA | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 06/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4111662 | — | WA |