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Organization
SUNRISE 2 SUNSET HOME CARE, LLC
Active
Organization
SUNRISE 2 SUNSET HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M FAGAN RN (CEO)
(419) 689-3108
Entity
Organization
Contact information
Practice address
309 W BUCYRUS ST, CRESTLINE, OH 44827-1820
(419) 689-3108
(866) 561-3139
Mailing address
309 W BUCYRUS ST, CRESTLINE, OH 44827-1820
(419) 689-3108
(866) 561-3139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.361828
OH
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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