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Organization
SUNRISE COMMUNITY, INC.
Active
Organization
SUNRISE COMMUNITY, INC.
Active
Other names
Sunrise Group Home #3
Organization subpart
No
Provider details
NPI number
Authorized official
ANA KARINA GARCIA (ACCOUNTS RECEIVABLE MANAGER)
(305) 273-3047
Entity
Organization
Contact information
Practice address
22300 SW 162ND AVE, GOULDS, FL 33170-3907
(305) 242-0600
Mailing address
22300 SW 162ND AVE, GOULDS, FL 33170-3907
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U028518800
—
FL
Enumeration date
01/22/2007
Last updated
05/27/2020
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