Healthcare Provider Details

I. General information

NPI: 1649116294
Provider Name (Legal Business Name): SUNNYSIDE RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 BURGESS CT
EASTON MD
21601-4856
US

IV. Provider business mailing address

2 S WEST ST UNIT 4
EASTON MD
21601-2687
US

V. Phone/Fax

Practice location:
  • Phone: 410-218-3224
  • Fax:
Mailing address:
  • Phone: 410-218-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. LACY GILBERT
Title or Position: OWNER
Credential: RN
Phone: 410-218-3224