Provider Demographics
NPI:1821262999
Name:SUNSHINE MANOR RETIREMENT HOMES, INC.
Entity Type:Organization
Organization Name:SUNSHINE MANOR RETIREMENT HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-236-3446
Mailing Address - Street 1:3001 LINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-8884
Mailing Address - Country:US
Mailing Address - Phone:870-236-3446
Mailing Address - Fax:870-239-5949
Practice Address - Street 1:3001 LINWOOD DR
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-8884
Practice Address - Country:US
Practice Address - Phone:870-236-3446
Practice Address - Fax:870-239-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR080310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility