Provider Demographics
NPI:1710353008
Name:SUNSHINE HOUSE, INC.
Entity Type:Organization
Organization Name:SUNSHINE HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:C
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-837-5402
Mailing Address - Street 1:402 E HOLLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830-4826
Mailing Address - Country:US
Mailing Address - Phone:432-837-5402
Mailing Address - Fax:432-837-5404
Practice Address - Street 1:402 E HOLLAND AVE
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-4826
Practice Address - Country:US
Practice Address - Phone:432-837-5402
Practice Address - Fax:432-837-5404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals