Provider Demographics
NPI:1134901341
Name:SUNNY SKIES ADULT DAYCARE LLC
Entity type:Organization
Organization Name:SUNNY SKIES ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-245-7263
Mailing Address - Street 1:4350 FOWLER ST
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-2699
Mailing Address - Country:US
Mailing Address - Phone:239-245-7263
Mailing Address - Fax:888-473-2963
Practice Address - Street 1:4350 FOWLER ST
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-2699
Practice Address - Country:US
Practice Address - Phone:239-245-7263
Practice Address - Fax:888-473-2963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care