Provider Demographics
NPI:1497197388
Name:ROYAL LIVING AT SUNRISE ALF INC
Entity Type:Organization
Organization Name:ROYAL LIVING AT SUNRISE ALF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAPINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHI
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:954-748-1930
Mailing Address - Street 1:3181 NW 94TH WAY
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7134
Mailing Address - Country:US
Mailing Address - Phone:954-748-1930
Mailing Address - Fax:954-748-1930
Practice Address - Street 1:3181 NW 94TH WAY
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7134
Practice Address - Country:US
Practice Address - Phone:954-748-1930
Practice Address - Fax:954-748-1930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10471310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility