Provider Demographics
NPI:1427304559
Name:SUNNY BOWER ALF
Entity type:Organization
Organization Name:SUNNY BOWER ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRUMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-792-2144
Mailing Address - Street 1:1604 71ST ST NW
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-1129
Mailing Address - Country:US
Mailing Address - Phone:941-792-2144
Mailing Address - Fax:941-795-6374
Practice Address - Street 1:1604 71ST ST NW
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-1129
Practice Address - Country:US
Practice Address - Phone:941-792-2144
Practice Address - Fax:941-795-6374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL5178261QA0600X, 310400000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care