Provider Demographics
NPI:1346555687
Name:SUNFLOWER TRANSPORTATION
Entity Type:Organization
Organization Name:SUNFLOWER TRANSPORTATION
Other - Org Name:SUNFLOWER ADULT DAY CARE CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YAKOV
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSHUVAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-504-0506
Mailing Address - Street 1:2814 W BELL RD STE 1415
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-7531
Mailing Address - Country:US
Mailing Address - Phone:602-504-0506
Mailing Address - Fax:602-504-0506
Practice Address - Street 1:2814 W. BELL RD, SUITE 1415
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053
Practice Address - Country:US
Practice Address - Phone:602-504-0505
Practice Address - Fax:602-504-0506
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)