National Provider Identifier Database

SUNRISE LIFESTYLE CENTERS LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

SUNRISE LIFESTYLE CENTERS LLC
4848 S 76TH ST
SUITE 203
GREENFIELD, WI53220-4361
Phone: 414-282-8180
Fax: 474-282-7971
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for SUNRISE LIFESTYLE CENTERS LLC

NPI Number 1801853445
Legal business name
LBN
SUNRISE LIFESTYLE CENTERS LLC
Authorized official JEFF GRADE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/27/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 52-4500

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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