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Organization
SUNRISE CARE HOME LLC
Active
Organization
SUNRISE CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY RODRIGUEZ TAYAG RCFE ADMINISTRATOR (ADMINISTRATOR/OWNER)
(510) 481-1300
Entity
Organization
Contact information
Practice address
1447 VIA LUCAS, SAN LORENZO, CA 94580
(510) 481-1300
(510) 276-5888
Mailing address
1447 VIA LUCAS, SAN LORENZO, CA 94580
(510) 481-1300
(510) 276-5888
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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