Organization
SUNRISE MEDICAL SERVICES,INC
Active
Other names
Lake Crossing Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T MCKETTRICK (CEO)
(706) 650-8922
Entity
Organization
Contact information
Practice address
6698 WASHINGTON RD, APPLING, GA 30802-4120
(706) 541-0462
(706) 541-0310
Mailing address
454C FURYS FERRY RD, AUGUSTA, GA 30907-9506
(706) 650-8922
(706) 650-8984
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-036-1197
GA
Other
Enumeration date
02/07/2006
Last updated
08/22/2020
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