Provider Demographics
NPI:1700417839
Name:SUNLIGHT ADULT DAY HEALTH CARE CENTER, LLC
Entity Type:Organization
Organization Name:SUNLIGHT ADULT DAY HEALTH CARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-314-4373
Mailing Address - Street 1:413 GRISWOLD ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1924
Mailing Address - Country:US
Mailing Address - Phone:818-314-4373
Mailing Address - Fax:
Practice Address - Street 1:413 GRISWOLD ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1924
Practice Address - Country:US
Practice Address - Phone:818-314-4373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care