| NPI | 1114950300 |
|---|---|
| Doing Business As | SUNNYBROOK HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS K MITTLEIDER President 770-619-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 113261) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: GA 651) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: GA 651) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-11-12 |