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Organization
SUNRISE LIVING
Active
Organization
SUNRISE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRILL MARSHALL (CASE MANAGER)
(904) 716-0712
Entity
Organization
Contact information
Practice address
1419 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-5249
(904) 924-4825
Mailing address
1419 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-5249
(904) 924-4825
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
300290517
FL
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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