Organization
SUNRISEARC, INC.
Active
Other names
The Arc Sunrise of Central Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A SWAIN (CEO)
(352) 787-3079
Entity
Organization
Contact information
Practice address
35201 RADIO RD, LEESBURG, FL 34788-3148
(352) 787-3079
Mailing address
35201 RADIO RD, LEESBURG, FL 34788-3148
(352) 787-3079
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023829596
MEDICAID WAIVER PROVIDER
FL
Enumeration date
11/04/2014
Last updated
11/04/2014
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