MEDICARE: NEW SUNRISE PROPERTIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	177F00000X	Lodging Provider

General Provider Information

NPI Number	:	1174592018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SUNRISE PROPERTIES, INC.

Provider Business Mailing Address
First Line	:	1100 N ABBE RD
Second Line	:	SUITE A
City	:	ELYRIA
State	:	OH
Zip	:	44035-1667
Country	:	US
Telephone Number	:	440-365-9600
Fax Number	:	440-365-9602

Provider Business Practice Location Address
First Line	:	1100 N ABBE RD
Second Line	:	SUITE A
City	:	ELYRIA
State	:	OH
Zip	:	44035-1667
Country	:	US
Telephone Number	:	440-365-9600
Fax Number	:	440-365-9602

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	MS. PATRICIA MARQUIS
Credential	:
Telephone Number	:	440-365-9600

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/22/2020

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Directions to “NEW SUNRISE PROPERTIES, INC. ” Practice Location

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