Provider Demographics
NPI:1164772265
Name:SUNNYDAYS HOME CARE INC
Entity Type:Organization
Organization Name:SUNNYDAYS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA OTR/L
Authorized Official - Phone:612-386-5595
Mailing Address - Street 1:2270 SOUTH PKWY
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:MN
Mailing Address - Zip Code:55386-4538
Mailing Address - Country:US
Mailing Address - Phone:612-386-5595
Mailing Address - Fax:
Practice Address - Street 1:2270 SOUTH PKWY
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:MN
Practice Address - Zip Code:55386-4538
Practice Address - Country:US
Practice Address - Phone:612-386-5595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-16
Last Update Date:2012-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health