MEDICARE: THE SUNRISE VILLAGE LLC

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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1598583890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SUNRISE VILLAGE LLC

Provider Business Mailing Address
First Line	:	7948 SUNRISE BLVD
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-1531
Country	:	US
Telephone Number	:	916-412-6190
Fax Number	:

Provider Business Practice Location Address
First Line	:	7948 SUNRISE BLVD
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-1531
Country	:	US
Telephone Number	:	916-412-6190
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL EDWARD BUJOR
Credential	:
Telephone Number	:	916-412-6190

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	09/26/2024

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Directions to “THE SUNRISE VILLAGE LLC ” Practice Location

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