Sunrise Manor Common Lovely, LLC
NPI #1699321109 in Simi Valley, California
Provider Information
- NPI Number
- 1699321109
- Entity Type
- Organization
- Organization Name
- Sunrise Manor Common Lovely, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 12, 2019
- Last Updated
- Aug 12, 2019
Practice Location
- Address
- 1635 COCHRAN ST
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-2160
- Phone
- (805) 304-5960
Authorized Official
- Name
- SLIM MARON
- Title
- MEMBER
- Phone
- (805) 304-5960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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