Provider Demographics
NPI:1518551027
Name:SUNRISE ASSISTED LIVING I & II LLC
Entity Type:Organization
Organization Name:SUNRISE ASSISTED LIVING I & II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ODRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-350-3098
Mailing Address - Street 1:8037 COUNTRY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-4691
Mailing Address - Country:US
Mailing Address - Phone:907-350-3098
Mailing Address - Fax:907-868-1229
Practice Address - Street 1:6261 COLLINS WAY
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-2147
Practice Address - Country:US
Practice Address - Phone:907-350-3098
Practice Address - Fax:907-868-1229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility