# SUNNYSIDE PRESBYTERIAN HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** King's Grant
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366431652
- **Authorized official:** MR. PAUL WHITE (CONTROLLER)
- **Authorized official phone:** (540) 568-8237

## Contact information

- **Practice address:** 350 KINGS WAY RD, MARTINSVILLE, VA 24112-6631
- **Practice address phone:** (276) 634-1000
- **Practice address fax:** (276) 634-1599
- **Mailing address:** 600 UNIVERSITY BLVD, 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 | RO05417 | VA | — |
| 314000000X | Skilled Nursing Facility | NH2602 | VA | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 05/26/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4954081 | — | VA |