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Organization
SUNRISE SENIOR HOME
Active
Organization
SUNRISE SENIOR HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GHEBRE REGISTERED NURSE (OWNER)
(206) 235-1402
Entity
Organization
Contact information
Practice address
1820 224TH ST SW, BOTHELL, WA 98021-9214
(206) 235-1402
Mailing address
3526 168TH PL SW, LYNNWOOD, WA 98037-3233
(206) 235-1402
(206) 420-6115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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