Provider Demographics
NPI:1407231038
Name:SUNRISE SERVICES, INC.
Entity Type:Organization
Organization Name:SUNRISE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLOSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-212-4211
Mailing Address - Street 1:PO BOX 2569
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98213-0569
Mailing Address - Country:US
Mailing Address - Phone:425-212-4211
Mailing Address - Fax:425-347-0492
Practice Address - Street 1:1718 BROADWAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2347
Practice Address - Country:US
Practice Address - Phone:425-212-4211
Practice Address - Fax:425-347-0492
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNRISE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-24
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health