Provider Demographics
NPI:1629500897
Name:LITTLE BIT OF SUNSHINE ADULT CENTER
Entity Type:Organization
Organization Name:LITTLE BIT OF SUNSHINE ADULT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:361-547-9797
Mailing Address - Street 1:108 E SAN PATRICIO AVE
Mailing Address - Street 2:
Mailing Address - City:MATHIS
Mailing Address - State:TX
Mailing Address - Zip Code:78368
Mailing Address - Country:US
Mailing Address - Phone:361-547-9797
Mailing Address - Fax:361-547-9777
Practice Address - Street 1:108 E SAN PATRICIO AVE
Practice Address - Street 2:
Practice Address - City:MATHIS
Practice Address - State:TX
Practice Address - Zip Code:78368
Practice Address - Country:US
Practice Address - Phone:361-547-9797
Practice Address - Fax:361-547-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care