Provider Demographics
NPI:1730489121
Name:AL U.S./GP WOODS II SENIOR HOUSING, LLC
Entity Type:Organization
Organization Name:AL U.S./GP WOODS II SENIOR HOUSING, LLC
Other - Org Name:SUNRISE ASSISTED LIVING ON VERNIER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:OSTROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-343-0600
Mailing Address - Street 1:21260 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1046
Mailing Address - Country:US
Mailing Address - Phone:313-343-0600
Mailing Address - Fax:313-343-6100
Practice Address - Street 1:21260 MACK AVE.
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236
Practice Address - Country:US
Practice Address - Phone:313-343-0600
Practice Address - Fax:313-343-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility