Provider Demographics
NPI:1598032526
Name:SWEET SUNRISE SERVICES
Entity Type:Organization
Organization Name:SWEET SUNRISE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FAJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-316-5546
Mailing Address - Street 1:3430 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4108
Mailing Address - Country:US
Mailing Address - Phone:305-448-2323
Mailing Address - Fax:305-448-2327
Practice Address - Street 1:3430 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4108
Practice Address - Country:US
Practice Address - Phone:305-448-2323
Practice Address - Fax:305-448-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management