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Organization
SUN RIZE RESIDENCE
Active
Organization
SUN RIZE RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIESHQUANNA C RICHARDSON (CEO)
(919) 664-2155
Entity
Organization
Contact information
Practice address
104 S SMITHFIELD RD, KNIGHTDALE, NC 27545-7781
(919) 664-2155
Mailing address
PO BOX 94, CLAYTON, NC 27528-0094
(919) 809-0852
(844) 859-3904
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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