Provider Demographics
NPI:1164150744
Name:SUNLIGHT CARE LLC
Entity Type:Organization
Organization Name:SUNLIGHT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NSANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-202-3482
Mailing Address - Street 1:945 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4613
Mailing Address - Country:US
Mailing Address - Phone:508-202-3482
Mailing Address - Fax:866-305-9282
Practice Address - Street 1:945 CONCORD ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4613
Practice Address - Country:US
Practice Address - Phone:508-202-3482
Practice Address - Fax:866-305-9282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health