Organization
SUNRISE PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM NALLELY PERDOMO-AGUILAR (DIRECTOR)
(702) 750-1629
Entity
Organization
Contact information
Practice address
5160 S EASTERN AVE STE E, LAS VEGAS, NV 89119-2300
(702) 750-1629
(702) 750-1647
Mailing address
5160 S EASTERN AVE STE E, LAS VEGAS, NV 89119-2300
(702) 750-1629
(702) 750-1647
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760812317
—
NV
Enumeration date
05/08/2015
Last updated
05/08/2015
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