Organization
SUNRISE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM NALLELY PERDOMO-AGUILAR (PRESIDENT)
(702) 353-0602
Entity
Organization
Contact information
Practice address
5160 S EASTERN AVE, SUITE C, LAS VEGAS, NV 89119-2300
(702) 353-0602
Mailing address
5160 S EASTERN AVE, SUITE C, LAS VEGAS, NV 89119-2300
(702) 353-0602
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7763PCS-0
NV
Other
Enumeration date
08/21/2013
Last updated
11/21/2013
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