# VINEYARD ADULT CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUNRISE ADULT CARE HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164606620
- **Authorized official:** CORNELIA LUPAS (ADMINISTRATOR)
- **Authorized official phone:** (623) 847-1216

## Contact information

- **Practice address:** 4415 W CAROL AVE, GLENDALE, AZ 85302-3814
- **Practice address phone:** (623) 847-1216
- **Practice address fax:** (623) 847-1216
- **Mailing address:** 4415 W CAROL AVE, GLENDALE, AZ 85302-3814
- **Mailing address phone:** (623) 847-1216
- **Mailing address fax:** (623) 847-1216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | ALH-6842 | AZ | Yes |

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 01/29/2009