Provider Demographics
NPI:1851000707
Name:SUNFLOWER HEALTH CARE RESOURCES
Entity Type:Organization
Organization Name:SUNFLOWER HEALTH CARE RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANCELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOMINYAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-350-8854
Mailing Address - Street 1:7826 EASTERN AVE NW STE 206
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1333
Mailing Address - Country:US
Mailing Address - Phone:240-350-8854
Mailing Address - Fax:202-788-2687
Practice Address - Street 1:7826 EASTERN AVE NW STE 206
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1333
Practice Address - Country:US
Practice Address - Phone:240-350-8854
Practice Address - Fax:202-788-2687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)