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Mikouis Enterprises, Inc., Dba Sunrise Homes
Intellectual Disabilities Intermediate Care Facility in Lisbon, Ohio
NPI 1003091323

Mikouis Enterprises, Inc., Dba Sunrise Homes is a Intellectual Disabilities Intermediate Care Facility based in Lisbon, OH. Mikouis Enterprises, Inc., Dba Sunrise Homes practices in Lisbon, OH. The NPI Number for Mikouis Enterprises, Inc., Dba Sunrise Homes is 1003091323 and holds a License No. 24817 (Ohio).

The current practice location address for Mikouis Enterprises, Inc., Dba Sunrise Homes is 38655 Saltwell Rd, Lisbon, OH and can be reached out via phone at 330-424-1418 and via fax at 330-424-1920.

Location: 38655 Saltwell Rd, Lisbon, OH, 44432-8348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003091323
Provider Name
Mikouis Enterprises, Inc., Dba Sunrise Homes
Credential
Provider Entity Type
Organization
Address
38655 Saltwell Rd, Lisbon, OH, 44432-8348
Phone Number
330-424-1418
Fax Number
330-424-1920
Provider Enumeration Date
01/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0115048 05 OH
institution
Provider Business Practice Location Address Details
Address
38655 Saltwell Rd
City
Lisbon
State
Ohio
Zip
44432-8348
Phone Number
330-424-1418
Fax Number
330-424-1920
person
Provider Business Mailing Address Details
Address
38655 Saltwell Rd
City
Lisbon
State
Ohio
Zip
44432-8348
Phone Number
330-424-1418
Fax Number
330-424-1920
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
24817 (Ohio)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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