Provider Demographics
NPI:1740715267
Name:SUNNY HOSPICE LLC.
Entity type:Organization
Organization Name:SUNNY HOSPICE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:KLINER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-839-2707
Mailing Address - Street 1:110 N CHOUTEAU AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHOUTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74337-3209
Mailing Address - Country:US
Mailing Address - Phone:918-201-2900
Mailing Address - Fax:918-476-6063
Practice Address - Street 1:110 N CHOUTEAU AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CHOUTEAU
Practice Address - State:OK
Practice Address - Zip Code:74337-3209
Practice Address - Country:US
Practice Address - Phone:918-201-2900
Practice Address - Fax:918-476-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based