Organization
SUNRISE COMMUNITY OF MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH WRAY (PRESIDENT)
(305) 273-3011
Entity
Organization
Contact information
Practice address
4801 FORBES BLVD, LANHAM, MD 20706-4303
(301) 459-0566
Mailing address
4801 FORBES BLVD, LANHAM, MD 20706-4303
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
958702100
—
MD
Enumeration date
01/11/2018
Last updated
01/11/2018
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