Provider Demographics
NPI:1538797600
Name:SUN BAY MANOR INC
Entity type:Organization
Organization Name:SUN BAY MANOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:REIFF
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:305-238-0373
Mailing Address - Street 1:8440 SW 155TH TER
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2159
Mailing Address - Country:US
Mailing Address - Phone:305-238-0373
Mailing Address - Fax:786-701-9626
Practice Address - Street 1:8440 SW 155TH TER
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-2159
Practice Address - Country:US
Practice Address - Phone:305-238-0373
Practice Address - Fax:786-701-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility