Organization
SUNRISE COMMUNITY, INC.
Active
Other names
119th Street
Organization subpart
No
Provider details
NPI number
Authorized official
ANA KARINA GARCIA (ACCOUNTS RECEIVABLE MANAGER)
(305) 273-3047
Entity
Organization
Contact information
Practice address
13350 SW 119TH ST, MIAMI, FL 33186-4572
(305) 382-4166
Mailing address
13350 SW 119TH ST, MIAMI, FL 33186-4572
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U028062300
—
FL
Enumeration date
12/06/2006
Last updated
05/27/2020
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