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General NPI Number Information
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NPI Number | 1881562262
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Entity Type | Organization
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Legal Business Name | SONNY SENIOR CARE ASSISTED LIVING LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 32299 PERRYHAWKIN RD
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-4119
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Country | US
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Telephone | 443-437-5075
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Fax |
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Provider Business Mailing Address
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Address Line | 32299 PERRYHAWKIN RD
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-4119
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Country | US
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Telephone | 443-437-5075
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LATOYA JOHNSON
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Credential |
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Telephone | 443-366-7856
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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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