SUNSET MANOR, INC.
Skilled Nursing Facility
Grandville, Michigan
Provider NPI: 1154324754
Organization Information:Organization Name: SUNSET MANOR, INC.
Practice Location:
3400 WILSON AVE SW GRANDVILLE, MI 49418 US
Tel: 616-534-5487 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3400 WILSON AVE SW GRANDVILLE, MI 49418 US
Tel: 616-534-5487 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MI | 414030 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2154383 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin