Organization
SUNRISE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILSON K MABWAI RN (DON)
(763) 639-9537
Entity
Organization
Contact information
Practice address
167 PRIMROSE CT, VADNAIS HEIGHTS, MN 55127-6154
(763) 639-9537
Mailing address
PO BOX 270125, VADNAIS HEIGHTS, MN 55127-0125
(763) 639-9537
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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