Organization
SUNRISE COMMUNITY OF VIRGINIA, INC.
Active
Other names
RIVA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY S. WRAY (PRESIDENT)
(305) 273-3011
Entity
Organization
Contact information
Practice address
4085 CHAIN BRIDGE RD, SUITE 301, FAIRFAX, VA 22030-4106
(703) 359-4430
Mailing address
9040 SW 72ND ST, MIAMI, FL 33173-3432
(305) 596-9040
(305) 598-8240
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004947711
PROVIDER
VA
Enumeration date
08/03/2006
Last updated
02/20/2020
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