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SUNRISE COMMUNITY, INC.

Intermediate Care Facility, Mentally Retarded

St. Petersburg, Florida

Provider NPI: 1982771820

Organization Information:
Organization Name:  SUNRISE COMMUNITY, INC.


Practice Location:
1101-102ND AVE, NORTH  ST. PETERSBURG, FL 33716 US
Tel: 727-576-0492  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
U028018601FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS FL - Page 1



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