Provider Demographics
NPI:1649596099
Name:SUN TREE LLC
Entity Type:Organization
Organization Name:SUN TREE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAUNTRICE
Authorized Official - Middle Name:R
Authorized Official - Last Name:O'QUIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:504-343-3655
Mailing Address - Street 1:933 N CLAIBORNE PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-3705
Mailing Address - Country:US
Mailing Address - Phone:504-343-3655
Mailing Address - Fax:
Practice Address - Street 1:933 N CLAIBORNE PKWY
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-3705
Practice Address - Country:US
Practice Address - Phone:504-343-3655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management