Provider Demographics
NPI:1518572189
Name:SUNRISE OF BOYNTON BEACH OPO, LLC
Entity Type:Organization
Organization Name:SUNRISE OF BOYNTON BEACH OPO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-413-6807
Mailing Address - Street 1:10605 S JOG RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3234
Mailing Address - Country:US
Mailing Address - Phone:561-413-6807
Mailing Address - Fax:561-413-6807
Practice Address - Street 1:10605 S JOG RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3234
Practice Address - Country:US
Practice Address - Phone:561-413-6807
Practice Address - Fax:561-413-6807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility