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Organization
SUNSHINE EXTENDED SERVICES, INC.
Active
Organization
SUNSHINE EXTENDED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN P LOPEZ LVN (STAFF ACCOUNTANT)
(562) 691-3573
Entity
Organization
Contact information
Practice address
2501 LA HABRA BLVD, SUITE 4, LA HABRA, CA 90631-4368
(562) 691-3573
(562) 691-3892
Mailing address
2501 LA HABRA BLVD, SUITE 4, LA HABRA, CA 90631-4368
(562) 691-3573
(562) 691-3892
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060000769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08098F
—
CA
Enumeration date
01/30/2007
Last updated
08/20/2009
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