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SUNRISE PLACE LLC NPI 1376929208


NPI Information

NPI: 1376929208
Provider Name: SUNRISE PLACE LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4721 HIAWATHA AVE
MINNEAPOLIS, MN
ZIP 55406
Phone: (612) 822-1720
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SUNRISE PLACE LLC is a rehabilitation and substance use disorder clinic center in Minneapolis, MN. SUNRISE PLACE LLC NPI is 1376929208. The provider is registered as an organization entity type.

The provider's business location address is:

4721 HIAWATHA AVE
MINNEAPOLIS, MN
ZIP 55406-928
Phone: (612) 822-1720

The provider's authorized official is Christiana Greene .
The authorized official title is President and has the following contact phone number (612) 328-4819.

The enumeration date for this NPI number is 8/3/2015 and was last updated on 8/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility1074667MINNESOTANo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1074667MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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