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NPI Code Detail

MEDICARE: SUNRISE COUNTRY INC

MEDICARE: SUNRISE COUNTRY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility724002NE

General Provider Information

NPI Number : 1316932569
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNRISE COUNTRY INC
Provider Business Mailing Address
First Line : 610 224TH RD
Second Line :
City : MILFORD
State : NE
Zip : 68405-8475
Country : US
Telephone Number : 402-761-3230
Fax Number : 402-761-3283
Provider Business Practice Location Address
First Line : 610 224TH RD
Second Line :
City : MILFORD
State : NE
Zip : 68405-8475
Country : US
Telephone Number : 402-761-3230
Fax Number : 402-761-3283
Authorized Official
Title or Position : OWNER
Name : MR. LEMAR TIM STAUFFER
Credential :
Telephone Number : 402-761-3230
Provider Enumeration Date : 09/14/2005
Last Update Date : 11/16/2011

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Directions to “SUNRISE COUNTRY INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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