Provider Demographics
NPI:1104434547
Name:SUNRISE SENIOR LIVING MANAGEMENT INC
Entity type:Organization
Organization Name:SUNRISE SENIOR LIVING MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP - OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLICHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-945-0006
Mailing Address - Street 1:23599 SE ISSAQUAH FALL CITY RD
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-9265
Mailing Address - Country:US
Mailing Address - Phone:425-945-0006
Mailing Address - Fax:425-945-0007
Practice Address - Street 1:23599 SE ISSAQUAH FALL CITY RD
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-9265
Practice Address - Country:US
Practice Address - Phone:425-945-0006
Practice Address - Fax:425-945-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility