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Organization
SUNRISE COMMUNITY, INC.
Active
Organization
SUNRISE COMMUNITY, INC.
Active
Other names
119th Street
Organization subpart
No
Provider details
NPI number
Authorized official
ANA KARINA GARCIA (ACCOUNTS RECEIVABLE MANAGER)
(305) 273-3047
Entity
Organization
Contact information
Practice address
13350 SW 119TH ST, MIAMI, FL 33186-4572
(305) 382-4166
Mailing address
13350 SW 119TH ST, MIAMI, FL 33186-4572
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U028062300
—
FL
Enumeration date
12/06/2006
Last updated
05/27/2020
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