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Organization
SUNRISE PRIMARY CARE SERVICES
Active
Organization
SUNRISE PRIMARY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WIGHTMAN (VP OF FINANCE)
(972) 278-1414
Entity
Organization
Contact information
Practice address
3200 BROADWAY BLVD STE 260, GARLAND, TX 75043-1513
(972) 278-0929
(972) 278-1399
Mailing address
PO BOX 494727, GARLAND, TX 75049-4727
(972) 278-1414
(972) 278-1413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007190
TX
251J00000X
Nursing Care Agency
007190
TX
372600000X
Adult Companion
007190
TX
3747P1801X
Personal Care Attendant
007190
TX
374U00000X
Home Health Aide
007190
TX
376J00000X
Homemaker
007190
TX
385H00000X
Respite Care
007190
TX
Other
Enumeration date
12/27/2006
Last updated
02/22/2019
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