SUNLIGHT SERVICES LLC
Assisted Living, Behavioral Disturbances
Saint Paul, Minnesota
Provider NPI: 1922581685
Organization Information:Organization Name: SUNLIGHT SERVICES LLC
Practice Location:
440 VIRGINIA ST SAINT PAUL, MN 55103 US
Tel: 651-600-4403 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:
440 VIRGINIA ST SAINT PAUL, MN 55103 US
Tel: 651-600-4403 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3104A0630X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Behavioral Disturbances | ||
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
Y | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UNIQUE MINNESOTA PROVIDER IDENTIFICATION NUMBER (UMPI) | A061103400 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin