Provider Demographics
NPI:1770021198
Name:SONSHINE HOME HEALTH LLC
Entity Type:Organization
Organization Name:SONSHINE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-764-6638
Mailing Address - Street 1:1010 N 12TH AVE
Mailing Address - Street 2:SUITE 233
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-3370
Mailing Address - Country:US
Mailing Address - Phone:850-764-6638
Mailing Address - Fax:850-764-6638
Practice Address - Street 1:1010 N 12TH AVE
Practice Address - Street 2:SUITE 233
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-3370
Practice Address - Country:US
Practice Address - Phone:850-764-6638
Practice Address - Fax:850-764-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health