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Organization
SUNRISE VILLAGE CARE LLC
Active
Organization
SUNRISE VILLAGE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN CRIDER (ADMINISTRATOR)
(706) 299-3540
Entity
Organization
Contact information
Practice address
573 PIONEER RD, JASPER, GA 30143-1225
(706) 253-0043
(770) 735-2661
Mailing address
3650 SALEM CHURCH RD, JASPER, GA 30143-5288
(770) 735-2219
(770) 735-2661
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH008698
GA
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
06/08/2018
Last updated
03/11/2024
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