Organization · Type 2 NPI

Sunrise of Mountain Lakes Opco, LLC

Assisted Living Facility · Mountain Lakes, NJ

NPI number 1457070138 Active

Practice location

23 Bloomfield Ave
Mountain Lakes, NJ 07046-1429

Fax (973) 461-7472

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Another provider at this address

John Anton Parkinson Jr., OTOccupational Therapist Mountain Lakes, NJ NPI 1790489565

NPI record

NPI: 1457070138
Entity type: Organization (Type 2)
Issued: Aug 25, 2022
Last updated: Dec 17, 2024
Status: Active

Other names

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Sunrise of Mountain Lakes · doing business as
Sunrise of Mountain Lakes · doing business as

Authorized official

Mr. Tony J. Harris
Senior Reimbursement Manager
(703) 854-0830

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About NPI 1457070138

Sunrise of Mountain Lakes Opco, LLC's National Provider Identifier is 1457070138, issued on Aug 25, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mountain Lakes, NJ. The record was last updated on Dec 17, 2024.