# SUNNYSIDE PRESBYTERIAN HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunnyside Presbyterian Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205826773
- **Authorized official:** LISA KANNEY (SENIOR EXECUTIVE ASSISTANT)
- **Authorized official phone:** (540) 568-8206

## Contact information

- **Practice address:** 3935 SUNNYSIDE DR, SUITE A, HARRISONBURG, VA 22801-2328
- **Practice address phone:** (540) 568-8505
- **Practice address fax:** (540) 568-8310
- **Mailing address:** 600 UNIVERSITY BLVD, SUITE L, HARRISONBURG, VA 22801-3763
- **Mailing address phone:** (540) 568-8237
- **Mailing address fax:** (540) 568-8248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | VLO-05-231 | VA | — |
| 314000000X | Skilled Nursing Facility | NH2700 | VA | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 03/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4953871 | — | VA |