| NPI | 1538616610 |
|---|---|
| Doing Business As | SUNRISE RIDGE |
| Entity Type | Organization |
| Authorized Contact | ALVIN L LONG Preident 828-216-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |