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Organization

SUNRISE HOME CARE SERVICES, LLC

Active
Parent organization
SUNRISE HOME CARE SERVICES, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUNRISE HOME CARE SERVICES, LLC
Authorized official
REYNALDO YOUNG (ADMINISTRATOR / MANAGER)
(352) 468-2619
Entity
Organization

Contact information

Practice address
9926 PROSPECT AVE, HAMPTON, FL 32044-4411
(352) 468-2619
Mailing address
PO BOX 213, HAMPTON, FL 32044-0213
(352) 468-2619

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL5084
FL

Other

Enumeration date
11/02/2013
Last updated
11/02/2013
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