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Sunrise I
Intellectual Disabilities Intermediate Care Facility in Novato, California
NPI 1891952719

Sunrise I is a Intellectual Disabilities Intermediate Care Facility based in San Rafael, CA. Sunrise I practices in Novato, CA. The NPI Number for Sunrise I is 1891952719 and holds a License No. 0100371 (California).

The current practice location address for Sunrise I is 627 Wilson Ave, Novato, CA and can be reached out via phone at 415-472-2373 and via fax at 415-472-5739.

Location: 627 Wilson Ave, Novato, CA, 94903-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891952719
Provider Name
Sunrise I
Credential
Provider Entity Type
Organization
Address
627 Wilson Ave, Novato, CA, 94903-1900
Phone Number
415-472-2373
Fax Number
415-472-5739
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5225713 05 CA
LTC60071F 05 CA
institution
Provider Business Practice Location Address Details
Address
627 Wilson Ave
City
Novato
State
California
Zip
94947-3823
Phone Number
415-472-2373
Fax Number
415-472-5739
person
Provider Business Mailing Address Details
Address
627 Wilson Ave
City
Novato
State
California
Zip
94947-3823
Phone Number
415-472-2373
Fax Number
415-472-5739
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0100371 (California)
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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