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Organization
SUNRISE LIFESTYLE CENTERS LLC
Active
Organization
SUNRISE LIFESTYLE CENTERS LLC
Active
Other names
Sunrise Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF T GRADE (CEO)
(847) 656-0353
Entity
Organization
Contact information
Practice address
4848 S 76TH ST, SUITE 203, GREENFIELD, WI 53220-4361
(414) 282-8180
(474) 282-7971
Mailing address
40 SKOKIE BLVD, SUITE 440, NORTHBROOK, IL 60062-1601
(847) 656-0353
(847) 656-0358
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
52-4500
WI
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
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