Provider Demographics
NPI:1982351722
Name:SUNNY DAYS IRON MOUNTAIN LLC
Entity Type:Organization
Organization Name:SUNNY DAYS IRON MOUNTAIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-260-5186
Mailing Address - Street 1:88 CENTER CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3002
Mailing Address - Country:US
Mailing Address - Phone:724-260-5186
Mailing Address - Fax:724-330-4127
Practice Address - Street 1:88 CENTER CHURCH RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3002
Practice Address - Country:US
Practice Address - Phone:724-260-5186
Practice Address - Fax:724-330-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health