Provider Demographics
NPI:1912444837
Name:THE SUNFLOWER FIELD LLC
Entity Type:Organization
Organization Name:THE SUNFLOWER FIELD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-797-6777
Mailing Address - Street 1:2323 STATE ROAD 580
Mailing Address - Street 2:SUITE# B
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763
Mailing Address - Country:US
Mailing Address - Phone:727-797-6777
Mailing Address - Fax:
Practice Address - Street 1:2323 STATE ROAD 580
Practice Address - Street 2:SUITE# B
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1152
Practice Address - Country:US
Practice Address - Phone:727-797-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities