# SUNRISE COMMUNITY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNRISE COMMUNITY SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639868284
- **Legal business name:** SUNRISE COMMUNITY SERVICES LLC
- **Authorized official:** FATMATA SHAW (DIRECTOR)
- **Authorized official phone:** (240) 280-4082

## Contact information

- **Practice address:** 100 PLAINFIELD AVE STE 4B, EDISON, NJ 08817-6701
- **Practice address phone:** (858) 564-4649
- **Mailing address:** 100 PLAINFIELD AVE STE 4B, EDISON, NJ 08817-6701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023