Organization
SUNRISE CHILDREN'S SERVICES, INC.
Active
Other names
Family Services Madisonville
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON C' DE BACA (EXECUTIVE ASSISTANT TO PRESIDENT)
(502) 538-1010
Entity
Organization
Contact information
Practice address
190 MADISON SQUARE DR STE B, MADISONVILLE, KY 42431-2785
(270) 874-2560
Mailing address
PO BOX 1429, MT WASHINGTON, KY 40047-1429
(502) 538-1000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1395
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100326270
—
KY
Enumeration date
03/26/2013
Last updated
10/25/2022
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