Provider Demographics
NPI:1467634733
Name:RAY OF SUNSHINE SITTING SERVICE LLC
Entity Type:Organization
Organization Name:RAY OF SUNSHINE SITTING SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-996-9317
Mailing Address - Street 1:311 COMANCHE MOON TRL
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-8005
Mailing Address - Country:US
Mailing Address - Phone:817-996-9317
Mailing Address - Fax:940-627-0982
Practice Address - Street 1:311 COMANCHE MOON TRL
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-8005
Practice Address - Country:US
Practice Address - Phone:817-996-9317
Practice Address - Fax:940-627-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health