Organization
SUNRISE2SUNRISE HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVIN T WILLIAMS CPC (OWNER)
(773) 320-0926
Entity
Organization
Contact information
Practice address
434 W 118TH ST, CHICAGO, IL 60628-5352
(773) 320-0926
Mailing address
434 W 118TH ST, CHICAGO, IL 60628-5352
(773) 320-0926
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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