Provider Demographics
NPI:1124655311
Name:SUNFLOWER ADULT DAY CARE, LLC
Entity type:Organization
Organization Name:SUNFLOWER ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HUE
Authorized Official - Middle Name:GINGER
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-382-4406
Mailing Address - Street 1:12917 W BELLFORT AVE
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-1838
Mailing Address - Country:US
Mailing Address - Phone:713-382-4406
Mailing Address - Fax:281-656-4504
Practice Address - Street 1:12917 W BELLFORT AVE
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-1838
Practice Address - Country:US
Practice Address - Phone:713-382-4406
Practice Address - Fax:281-656-4504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care