# SUNRISE LOVELY MANOR

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

## Provider details

- **NPI number:** 1326935875
- **Authorized official:** MR. SLIM MARON (OWNER)
- **Authorized official phone:** (805) 304-5960

## Contact information

- **Practice address:** 1635 COCHRAN ST, SIMI VALLEY, CA 93065-2160
- **Practice address phone:** (805) 210-2900
- **Practice address fax:** (805) 791-3755
- **Mailing address:** 1635 COCHRAN ST, SIMI VALLEY, CA 93065-2160
- **Mailing address phone:** (805) 304-5960

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2025
- **Last updated:** 06/18/2025