NPI 1760043350

Sunrise Senior Home

Organisation Adult Care Home Facility Bothell, WA

Practice location

Address: 1820 224th St SW, Bothell, WA 98021-9214
Phone: (206) 235-1402
Mailing address: 3526 168th Pl SW, Lynnwood, WA 98037-3233

Authorised official

Name: Daniel Ghebre
Title: Owner
Phone: (206) 235-1402

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Washington →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X

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Registry record

NPI: 1760043350
Entity type: Organization
NPI issued: 25 Jun 2019
Record last updated: 25 Jun 2019

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.