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General NPI Number Information
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NPI Number | 1245416148
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Entity Type | Organization
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Legal Business Name | SUNRISE MOUNTAIN ASSISTED LIVING
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 39180 FAIRVIEW ST
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City | STERLING
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State | AK
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Zip | 99672
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Country | US
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Telephone | 907-262-6346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 882
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City | STERLING
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State | AK
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Zip | 99672-0882
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Country | US
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Telephone | 907-262-6346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN ADAMS
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Credential |
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Telephone | 907-262-6346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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