Provider Demographics
NPI:1942489265
Name:SUNSHINE ACRES ASSISTED LIVING FACILITY, INC.
Entity Type:Organization
Organization Name:SUNSHINE ACRES ASSISTED LIVING FACILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-535-4432
Mailing Address - Street 1:2563 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CARYVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32427-2013
Mailing Address - Country:US
Mailing Address - Phone:850-535-4432
Mailing Address - Fax:850-535-4679
Practice Address - Street 1:2563 RIVER RD
Practice Address - Street 2:
Practice Address - City:CARYVILLE
Practice Address - State:FL
Practice Address - Zip Code:32427-2013
Practice Address - Country:US
Practice Address - Phone:850-535-4432
Practice Address - Fax:850-535-4679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL5461310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness