Organization
SUNRISE ADULT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENA HINDS (OWNER)
(631) 742-2693
Entity
Organization
Contact information
Practice address
107-C SUITE E EAST WADE STREET, WADESBORO, NC 28170-0577
(631) 742-2693
Mailing address
107-C SUITE E EAST WADE STREET, WADESBORO, NC 28170-0577
(631) 742-2693
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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