Organization
SUNRISE COMMUNITY, INC.
Active
Other names
St. Petersburg Cluster
Organization subpart
No
Provider details
NPI number
Authorized official
ANA KARINA GARCIA (ACCOUNTS RECEIVABLE MANAGER)
(305) 273-3047
Entity
Organization
Contact information
Practice address
1101-102ND AVE, NORTH, ST. PETERSBURG, FL 33716-2803
(727) 576-0492
Mailing address
1101-102ND AVE, NORTH, ST. PETERSBURG, FL 33716-2803
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U028018601
—
FL
Enumeration date
11/29/2006
Last updated
05/27/2020
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