# SUNRISE MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518630698
- **Authorized official:** JOHN KORYAN (JOHN KORYAN)
- **Authorized official phone:** (404) 552-9096

## Contact information

- **Practice address:** 2302 PARKLAKE DRIVE, SUITE 596, ATLANTA, GA 30345-2884
- **Practice address phone:** (404) 372-1196
- **Mailing address:** 2200 PARKLAKE DR NE APT 1341, ATLANTA, GA 30345-2884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2021
- **Last updated:** 10/03/2022