Provider Demographics
NPI:1841702065
Name:SUNSHINE HEALTH STAFFING LLC
Entity type:Organization
Organization Name:SUNSHINE HEALTH STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLABODE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-253-7329
Mailing Address - Street 1:4504 LORD LOUDOUN CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5946
Mailing Address - Country:US
Mailing Address - Phone:240-253-7329
Mailing Address - Fax:
Practice Address - Street 1:4504 LORD LOUDOUN CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-5946
Practice Address - Country:US
Practice Address - Phone:310-503-6292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care