# SUNRISE SENIOR HOME

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

## Provider details

- **NPI number:** 1760043350
- **Authorized official:** DANIEL GHEBRE REGISTERED NURSE (OWNER)
- **Authorized official phone:** (206) 235-1402

## Contact information

- **Practice address:** 1820 224TH ST SW, BOTHELL, WA 98021-9214
- **Practice address phone:** (206) 235-1402
- **Mailing address:** 3526 168TH PL SW, LYNNWOOD, WA 98037-3233
- **Mailing address phone:** (206) 235-1402
- **Mailing address fax:** (206) 420-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2019
- **Last updated:** 06/25/2019