| Sunrise Outreach Services | |
|
304 E Pine St # 89 Lakeland FL 33801-4969 | |
| (702) 818-9114 | |
| Not Available |
| Full Name | Sunrise Outreach Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 304 E Pine St # 89, Lakeland, Florida |
| Authorized Official Name and Position | Tiffany Liles (OWNER) |
| Authorized Official Contact | 7028189114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Outreach Services 304 E Pine St # 89 Lakeland FL 33801-4969 Ph: () - | Sunrise Outreach Services 304 E Pine St # 89 Lakeland FL 33801-4969 Ph: (702) 818-9114 |
| NPI Number | 1255841326 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255841326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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