Healthcare Provider Details

I. General information

NPI: 1801031224
Provider Name (Legal Business Name): SUNRISE LEASING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 05/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19900 CLARE AVE
MAPLE HEIGHTS OH
44137-1806
US

IV. Provider business mailing address

5198 RICHMOND RD
BEDFORD HTS OH
44146-1331
US

V. Phone/Fax

Practice location:
  • Phone: 216-662-3343
  • Fax:
Mailing address:
  • Phone: 216-831-6800
  • Fax: 216-831-9734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: LYNDA BOWER
Title or Position: CFO
Credential:
Phone: 216-831-6800