MEDICARE: SUNNY DAYS IRON MOUNTAIN 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982351722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY DAYS IRON MOUNTAIN LLC

Provider Business Mailing Address
First Line	:	88 CENTER CHURCH RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3002
Country	:	US
Telephone Number	:	724-260-5186
Fax Number	:	724-330-4127

Provider Business Practice Location Address
First Line	:	88 CENTER CHURCH RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3002
Country	:	US
Telephone Number	:	724-260-5186
Fax Number	:	724-330-4127

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOHN BENNETT
Credential	:
Telephone Number	:	724-260-5186

Provider Enumeration Date	:	03/02/2022
Last Update Date	:	03/07/2022

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