Organization
SUNRISE MANOR
Active
Other names
Sunrise Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY J. ZENOR BSN, RN (EXECUTIVE DIRECTOR)
(712) 276-3821
Entity
Organization
Contact information
Practice address
5501 GORDON DR, SIOUX CITY, IA 51106-2008
(712) 276-3821
(712) 202-0410
Mailing address
5501 GORDON DR, SIOUX CITY, IA 51106-2008
(712) 276-3821
(712) 202-0410
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
N-316
IA
314000000X
Skilled Nursing Facility
Primary
N-316
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803924
—
IA
Enumeration date
04/20/2006
Last updated
11/05/2009
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