NPI 1013188861

Sunrise Third (pool 1), LLC.

Organisation Assisted Living Facility Flossmoor, IL

Practice location

Address: 19715 Governors Hwy, Flossmoor, IL 60422-1794
Phone: (708) 798-1600
Fax: (708) 798-3406

Authorised official

Name: Brian Gename
Title: Executive Director
Phone: (708) 798-1600

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1013188861
Entity type: Organization
NPI issued: 20 Mar 2008
Record last updated: 20 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.