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NPI Code Detail

MEDICARE: SUNNY DAYS ASSISTED LIVING FACILITY LLC

MEDICARE: SUNNY DAYS ASSISTED LIVING FACILITY LLC
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
1310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326797432
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNNY DAYS ASSISTED LIVING FACILITY LLC
Provider Business Mailing Address
First Line : 1845 GARFIELD ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-3115
Country : US
Telephone Number : 549-921-1819
Fax Number :
Provider Business Practice Location Address
First Line : 1845 GARFIELD ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-3115
Country : US
Telephone Number : 549-921-1819
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : MANAL OLIVER
Credential :
Telephone Number : 786-556-3842
Provider Enumeration Date : 03/23/2022
Last Update Date : 03/23/2022

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Directions to “SUNNY DAYS ASSISTED LIVING FACILITY LLC ” Practice Location

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