Organization
SUNRISE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT BAKER (ADMINISTRATOR)
(801) 374-6553
Entity
Organization
Contact information
Practice address
1561 GRANDVIEW LN, PROVO, UT 84604-1019
(801) 374-6553
Mailing address
1561 N. GRANDVIEW LN, PROVO, UT 84604-4412
(801) 374-6553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2003-HHA-47170
UT
Other
Enumeration date
02/03/2006
Last updated
01/22/2015
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