Organization
SUNRISE COMMUNITY OF SOUTHWEST FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WEEKS (BOARD SECRETARY)
(305) 273-3024
Entity
Organization
Contact information
Practice address
1401 5TH AVE N, ST PETERSBURG, FL 33705-2007
(727) 896-7117
Mailing address
1401 5TH AVE N, ST PETERSBURG, FL 33705-2007
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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