| Sunrise Community Of Ga Inc | |
|
9040 Sunset Dr Miami FL 33173-3432 | |
| (305) 596-9040 | |
| Not Available |
| Full Name | Sunrise Community Of Ga Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9040 Sunset Dr, Miami, Florida |
| Authorized Official Name and Position | James Weeks (VICE PRESIDENT) |
| Authorized Official Contact | 3055969040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Community Of Ga Inc 9040 Sunset Dr Miami FL 33173-3432 Ph: (305) 596-9040 | Sunrise Community Of Ga Inc 9040 Sunset Dr Miami FL 33173-3432 Ph: (305) 596-9040 |
| NPI Number | 1659676534 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659676534 | NPI | - | NPPES |
| 300041891A | Medicaid | GA | |
| 300041891B | Medicaid | GA | |
| 300041891F | Medicaid | GA | |
| 300041891G | Medicaid | GA | |
| 300041891C | Medicaid | GA | |
| 300041891D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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