Organization
GL&SON LLC
Active
Other names
Sunrise ICF DD-N
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODOFREDO PATAWARAN (CEO)
(916) 786-3860
Entity
Organization
Contact information
Practice address
8010 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-1533
(916) 786-3860
(916) 722-8284
Mailing address
8010 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-1533
(916) 786-3860
(916) 722-8284
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
02/15/2024
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