| NPI | 1609038850 |
|---|---|
| Former Legal Business Name | MCCORKLE SUNRISE,LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN MCCORKLE General Manager 225-288-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: LA PCA 15063) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: LA PCA 15063) |
| 372600000X Adult Companion (Licence: LA SIL 20075) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-09-29 |