Provider Demographics
NPI:1821501099
Name:SUNNY DAYS AT HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SUNNY DAYS AT HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-750-6371
Mailing Address - Street 1:350 N MART PLZ STE K
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-5319
Mailing Address - Country:US
Mailing Address - Phone:601-750-6371
Mailing Address - Fax:
Practice Address - Street 1:350 N MART PLZ STE K
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-5319
Practice Address - Country:US
Practice Address - Phone:601-750-6371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty