Organization
SUN-RISE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LILES (EXECUTIVE DIRECTOR)
(702) 818-9114
Entity
Organization
Contact information
Practice address
3530 E FLAMINGO RD STE 100A, LAS VEGAS, NV 89121-5091
(702) 570-1720
Mailing address
3530 E FLAMINGO RD STE 100A, LAS VEGAS, NV 89121-5091
(702) 570-1720
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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