Provider Demographics
NPI:1144609629
Name:SUNFLOWER SERVICES LLC
Entity type:Organization
Organization Name:SUNFLOWER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMUKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-561-8334
Mailing Address - Street 1:PO BOX 484
Mailing Address - Street 2:
Mailing Address - City:MATHEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23109-0484
Mailing Address - Country:US
Mailing Address - Phone:757-696-5009
Mailing Address - Fax:866-221-7401
Practice Address - Street 1:299 GREENE RD
Practice Address - Street 2:
Practice Address - City:MATHEWS
Practice Address - State:VA
Practice Address - Zip Code:23109-2227
Practice Address - Country:US
Practice Address - Phone:757-696-5009
Practice Address - Fax:866-221-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty