Organization
SUNLIGHT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KER VUE (CEO)
(651) 472-2109
Entity
Organization
Contact information
Practice address
440 VIRGINIA ST, SAINT PAUL, MN 55103-2353
(651) 600-4403
Mailing address
440 VIRGINIA ST, SAINT PAUL, MN 55103-2353
(651) 600-4403
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A061103400
UNIQUE MINNESOTA PROVIDER IDENTIFICATION NUMBER (UMPI)
MN
Enumeration date
09/10/2018
Last updated
09/10/2018
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