Organization
SUNRISE COMMUNITY, INC.
Active
Other names
Green Tree Cluster
Organization subpart
No
Provider details
NPI number
Authorized official
ANA KARINA GARCIA (ACCOUNTS RECEIVABLE MANAGER)
(305) 273-3047
Entity
Organization
Contact information
Practice address
9040 SW 72ND ST, MIAMI, FL 33173-3432
(305) 596-9040
(305) 598-8240
Mailing address
9040 SW 72ND ST, MIAMI, FL 33173-3432
(305) 596-9040
(305) 598-8240
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U028028301
—
FL
Enumeration date
11/03/2006
Last updated
05/27/2020
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