Provider Demographics
NPI:1952166787
Name:SUN VIEW ESTATES BH LLC
Entity Type:Organization
Organization Name:SUN VIEW ESTATES BH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-717-8296
Mailing Address - Street 1:15045 W LARKSPUR DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-5952
Mailing Address - Country:US
Mailing Address - Phone:602-717-8296
Mailing Address - Fax:602-610-7241
Practice Address - Street 1:15045 W LARKSPUR DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-5952
Practice Address - Country:US
Practice Address - Phone:602-717-8296
Practice Address - Fax:602-610-7241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health