Organization
SUNRISE HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ANDERSON (CFO OWNER)
(651) 462-9331
Entity
Organization
Contact information
Practice address
22350 SUNRISE RD NE, STACY, MN 55079-9383
(651) 462-9331
(651) 462-5761
Mailing address
22350 SUNRISE RD NE, STACY, MN 55079-9383
(651) 462-9331
(651) 462-5761
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
327775
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129413
UCARE
MN
01
—
180020
UCARE PCA
MN
01
—
180021
UCARE EW
MN
01
—
5900108
MEDICA
MN
01
—
5C46SU
BC BS
MN
01
—
70418
HEALTH PARTNERS
MN
Enumeration date
06/15/2005
Last updated
08/22/2020
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