Organization
SUN RISEON THE SOUTH HOME CARE & TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAKESHA NDIAYE OWNER (DIRECTOR OF CLINICAL OPERATION)
(804) 605-7573
Entity
Organization
Contact information
Practice address
3000 SOUTH ST, SOUTH CHESTERFIELD, VA 23834-5230
(804) 605-7573
(804) 203-5733
Mailing address
3000 SOUTH ST, SOUTH CHESTERFIELD, VA 23834-5230
(804) 605-7573
(804) 203-5733
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002068703
NURSING
VA
Enumeration date
12/07/2018
Last updated
12/07/2018
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