Provider Demographics
NPI:1932405065
Name:SUNRISE SENIOR LIVING MAAGEMENT IN
Entity Type:Organization
Organization Name:SUNRISE SENIOR LIVING MAAGEMENT IN
Other - Org Name:SUNRISE ASSISTED LIVING OF BELLEVUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-401-5152
Mailing Address - Street 1:15928 NE 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3908
Mailing Address - Country:US
Mailing Address - Phone:425-401-5152
Mailing Address - Fax:425-401-0105
Practice Address - Street 1:15928 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3908
Practice Address - Country:US
Practice Address - Phone:425-401-5152
Practice Address - Fax:425-401-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility