Provider Demographics
NPI:1912651357
Name:SUNLAND RETIREMENT CENTER, INC
Entity Type:Organization
Organization Name:SUNLAND RETIREMENT CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KLASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-758-0828
Mailing Address - Street 1:143 COUNTY ROAD 200F
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-7066
Mailing Address - Country:US
Mailing Address - Phone:432-758-0828
Mailing Address - Fax:
Practice Address - Street 1:143 COUNTY ROAD 200F
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360-7066
Practice Address - Country:US
Practice Address - Phone:432-758-0828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility