- Enrollment id
- O20031103000711
- Enrollment state
- AZ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1760449409
- Multiple npi flag
- N
- Ccn
- 037226
- Associate id
- 5799697298
- Organization name
- APACHE HEALTHCARE SERVICES INC
- Doing business as name
- SUNRISE HEALTH SERVICES
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1840 E UNIVERSITY DR
- Address line 2
- STE 2A
- City
- MESA
- State
- AZ
- Zip code
- 852038237