Organization
SUNRISE NURSING HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN REYNOLDS (ADMINISTRATOR)
(315) 342-4790
Entity
Organization
Contact information
Practice address
17 SUNRISE DR, OSWEGO, NY 13126-1838
(315) 342-4790
(315) 342-5365
Mailing address
17 SUNRISE DR, OSWEGO, NY 13126-1838
(315) 342-4790
(315) 342-5365
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3702311N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01641309
—
NY
Enumeration date
06/22/2005
Last updated
08/22/2020
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