Provider Demographics
NPI:1053493502
Name:SUNSHINE-KJ-HEALTH CARE INC.
Entity Type:Organization
Organization Name:SUNSHINE-KJ-HEALTH CARE INC.
Other - Org Name:SUNSHINE-KJ-HEALTH CARE INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:UGONMA
Authorized Official - Last Name:DURU
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:972-602-8761
Mailing Address - Street 1:3508 TAMARACK DR.
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052
Mailing Address - Country:US
Mailing Address - Phone:972-602-8761
Mailing Address - Fax:972-602-8871
Practice Address - Street 1:3508 TAMARACK DR.
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7859
Practice Address - Country:US
Practice Address - Phone:972-602-8761
Practice Address - Fax:972-602-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health