Organization
SUNRISE IN-HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK M SHIHADY (PARTNER)
(866) 878-6747
Entity
Organization
Contact information
Practice address
410 MARKET ST, WARREN, PA 16365-1764
(866) 878-6747
(866) 878-6747
Mailing address
PO BOX 744, WARREN, PA 16365-0744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103450501-0001
—
PA
Enumeration date
06/11/2019
Last updated
07/28/2022
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