Provider Demographics
NPI:1689032690
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:MRS
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 1:192 E BAKERVIEW RD STE 102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8179
Practice Address - Country:US
Practice Address - Phone:360-392-0831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management