Provider Demographics
NPI:1982836268
Name:SUNRISE MORRIS PLAINS ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:SUNRISE MORRIS PLAINS ASSISTED LIVING LLC
Other - Org Name:SUNRISE ASSISTED LIVING OF MORRIS PLAINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:EARLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-538-7878
Mailing Address - Street 1:209 LITTLETON RD.
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950
Mailing Address - Country:US
Mailing Address - Phone:973-538-7878
Mailing Address - Fax:973-682-4381
Practice Address - Street 1:209 LITTLETON RD.
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950
Practice Address - Country:US
Practice Address - Phone:973-538-7878
Practice Address - Fax:973-682-4381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility