Provider Demographics
NPI:1710383609
Name:SUN SOUTH HOME-HEALTH ENTERPRISES, INC
Entity Type:Organization
Organization Name:SUN SOUTH HOME-HEALTH ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ONWER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKBAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MEMARIANFARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-724-2315
Mailing Address - Street 1:7616 LBJ FWY STE 860
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1120
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7616 LBJ FWY STE 860
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-1120
Practice Address - Country:US
Practice Address - Phone:214-724-2315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health