Provider Demographics
NPI:1407039316
Name:SUNLIGHT HOME INC.
Entity Type:Organization
Organization Name:SUNLIGHT HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARMELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE-JEROME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:256-746-1695
Mailing Address - Street 1:2636 CARTERS GIN RD
Mailing Address - Street 2:
Mailing Address - City:TONEY
Mailing Address - State:AL
Mailing Address - Zip Code:35773-9703
Mailing Address - Country:US
Mailing Address - Phone:256-746-1695
Mailing Address - Fax:
Practice Address - Street 1:2636 CARTERS GIN RD
Practice Address - Street 2:
Practice Address - City:TONEY
Practice Address - State:AL
Practice Address - Zip Code:35773-9703
Practice Address - Country:US
Practice Address - Phone:256-746-1695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities