Provider Demographics
NPI:1649477027
Name:SUNSHINE CENTER, INC.
Entity type:Organization
Organization Name:SUNSHINE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:910-734-8549
Mailing Address - Street 1:PO BOX 473
Mailing Address - Street 2:
Mailing Address - City:WAGRAM
Mailing Address - State:NC
Mailing Address - Zip Code:28396-0473
Mailing Address - Country:US
Mailing Address - Phone:910-734-8549
Mailing Address - Fax:910-369-0209
Practice Address - Street 1:21880 CRUMPTOWN ROAD
Practice Address - Street 2:
Practice Address - City:WAGRAM
Practice Address - State:NC
Practice Address - Zip Code:28396
Practice Address - Country:US
Practice Address - Phone:910-734-8549
Practice Address - Fax:910-369-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities