Organization
SUNNY KNOLL CARE CENTER, LLC
Active
Other names
Sunny Knoll Care Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S BENCH (AUTHORIZED REPRESENTATIVE)
(941) 758-4745
Entity
Organization
Contact information
Practice address
135 WARNER ST, ROCKWELL CITY, IA 50579-1722
(712) 297-8918
(712) 297-5535
Mailing address
5115 E STATE ROAD 64, BRADENTON, FL 34208-5509
(941) 758-4745
(941) 751-2135
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
130168
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800076
—
IA
05
—
0803858
—
IA
Enumeration date
04/06/2006
Last updated
10/04/2017
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