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General NPI Number Information
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NPI Number | 1780633933
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Entity Type | Organization
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Legal Business Name | SUNRISE HOME CARE SERVICES, INC
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Dates
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Enumeration Date | 05/07/2006
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Last Update Date | 12/19/2019
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Provider Practice Location Address
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Address Line | 941 S ATLANTIC BLVD STE 222
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City | MONTEREY PARK
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State | CA
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Zip | 91754
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Country | US
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Telephone | 626-289-4200
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Fax | 626-289-4201
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Provider Business Mailing Address
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Address Line | 941 S ATLANTIC BLVD STE 222
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City | MONTEREY PARK
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State | CA
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Zip | 91754-4722
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Country | US
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Telephone | 626-289-4200
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Fax | 626-289-4201
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | RAMONA OLIVIA MOLINA -VEGA
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Credential | REGISTERED NURSE
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Telephone | 626-289-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 9800001483
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License Number State | CA
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