Provider Demographics
NPI:1184351199
Name:VALLEY SUNFLOWER LLC
Entity type:Organization
Organization Name:VALLEY SUNFLOWER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-764-0870
Mailing Address - Street 1:5375 NW 7TH ST PH 859
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3795
Mailing Address - Country:US
Mailing Address - Phone:305-764-0870
Mailing Address - Fax:
Practice Address - Street 1:1275 W 47TH PL STE 335
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3450
Practice Address - Country:US
Practice Address - Phone:786-615-3070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care