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Organization
SUNRISE HOME CARE AGENCY, LLC
Active
Organization
SUNRISE HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE LENOR MOORE (VICE PRESIDENT)
(757) 539-4663
Entity
Organization
Contact information
Practice address
157 N MAIN ST STE R2, SUFFOLK, VA 23434-4565
(757) 539-4663
(757) 539-4661
Mailing address
PO BOX 5292, SUFFOLK, VA 23435-0292
(757) 539-4663
(757) 539-4661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-141078
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172518562
—
VA
05
—
0172519115
—
VA
Enumeration date
07/14/2014
Last updated
07/14/2014
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