Organization
EHF SUNRISE OP, LLC
Active
Parent organization
EXTENDICARE HEALTH FACILITIES INC.
Other names
Sunrise Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTENDICARE HEALTH FACILITIES INC.
Authorized official
DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
3540 S 43RD ST, MILWAUKEE, WI 53220-1502
(414) 541-1000
(414) 541-1942
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-8481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3134
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20198900
—
WI
Enumeration date
03/15/2007
Last updated
02/22/2008
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