Provider Demographics
NPI:1053994020
Name:SUNRISE HOUSE INC
Entity type:Organization
Organization Name:SUNRISE HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FOLABI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLANKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-249-2122
Mailing Address - Street 1:210 E HUNTER DR
Mailing Address - Street 2:
Mailing Address - City:GLOBE
Mailing Address - State:AZ
Mailing Address - Zip Code:85501-1523
Mailing Address - Country:US
Mailing Address - Phone:480-249-2122
Mailing Address - Fax:
Practice Address - Street 1:210 E HUNTER DR
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85501-1523
Practice Address - Country:US
Practice Address - Phone:480-249-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility