Healthcare Provider Details

I. General information

NPI: 1336068287
Provider Name (Legal Business Name): SUNNYSIDE SENIOR LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 20TH CENTURY BLVD
TURLOCK CA
95380-2314
US

IV. Provider business mailing address

120 20TH CENTURY BLVD
TURLOCK CA
95380-2314
US

V. Phone/Fax

Practice location:
  • Phone: 209-668-8014
  • Fax: 209-668-8202
Mailing address:
  • Phone: 209-668-8014
  • Fax: 209-668-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. KRYSTAL CALDERON
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 209-668-8014