Organization
SUNRISE FOR A HAPPY LIFE ADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA I PONGUTA (ADMINISTRATOR)
(863) 272-3852
Entity
Organization
Contact information
Practice address
833 N LAKE PARKER AVE, LAKELAND, FL 33801-2044
(863) 614-6136
(863) 337-6638
Mailing address
410 W HANCOCK ST, LAKELAND, FL 33803-1418
(863) 272-3852
(863) 337-6638
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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