Organization
SUNSHINE HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC WAYNE HOLLAND N.H.A. (OWNER)
(662) 489-1189
Entity
Organization
Contact information
Practice address
1677 HIGHWAY 9 N, PONTOTOC, MS 38863-9279
(662) 489-1189
Mailing address
1677 HIGHWAY 9 N, PONTOTOC, MS 38863-9279
(662) 489-1189
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023140
—
MS
Enumeration date
09/16/2006
Last updated
03/05/2008
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