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Organization
SUNRISE FAMILY HOMECARE LLC
Active
Organization
SUNRISE FAMILY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMEDDEQ A ALI (PRESIDENT)
(614) 272-0900
Entity
Organization
Contact information
Practice address
132 N WILSON RD, COLUMBUS, OH 43204-1262
(614) 272-0900
Mailing address
132 N WILSON RD, COLUMBUS, OH 43204-1262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
OH
Enumeration date
07/08/2014
Last updated
07/08/2014
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