Mikouis Enterprises, Inc., DBA Sunrise Homes

NPI #1003091323 in Lisbon, Ohio

Provider Information

NPI Number: 1003091323
Entity Type: Organization
Organization Name: Mikouis Enterprises, Inc., DBA Sunrise Homes
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jan 5, 2008
Last Updated: Jan 5, 2008

Practice Location

Address: 38655 SALTWELL RD
City: Lisbon
State: Ohio
ZIP Code: 44432-8348
Phone: (330) 424-1418

Authorized Official

Name: MRS. JEANNETTE MIKOUIS, LNHA, RD/LD, RN
Title: ADMINISTRATOR
Phone: (330) 424-1418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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