Organization
SUNRISE ASSISTED LIVING HOME LLC
Active
Other names
Sunrise Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB AWANDEM (CO-OWNER)
(781) 346-1858
Entity
Organization
Contact information
Practice address
18413 W PUEBLO AVE, GOODYEAR, AZ 85338-2014
(781) 346-1858
Mailing address
18413 W PUEBLO AVE, GOODYEAR, AZ 85338-2014
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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