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Organization

SUNRISE CENTER HEALTHCARE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARICELA DELGADO (OFFICE MANAGER)
(419) 874-8053
Entity
Organization

Contact information

Practice address
955 COMMERCE DR, PERRYSBURG, OH 43551-5261
(419) 874-8053
(419) 874-8053
Mailing address
955 COMMERCE DR, PERRYSBURG, OH 43551-5261
(419) 874-8053
(419) 874-8053

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0171880
WAIVER
OH
Enumeration date
04/23/2007
Last updated
06/26/2008
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