Provider Demographics
NPI:1154638948
Name:SONRISE MEDICAL LLC
Entity Type:Organization
Organization Name:SONRISE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-801-1400
Mailing Address - Street 1:9 COUNTY ROAD 154
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5957
Mailing Address - Country:US
Mailing Address - Phone:662-801-1400
Mailing Address - Fax:662-236-9568
Practice Address - Street 1:9 COUNTY ROAD 154
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5957
Practice Address - Country:US
Practice Address - Phone:662-801-1400
Practice Address - Fax:662-236-9568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies