Organization
SUNSHINE SENSORY SPECTRUMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNEAL M LYONS (CHIEF EXECUTIVE OFFICER)
(201) 838-9372
Entity
Organization
Contact information
Practice address
6631 FORT KING RD APT 407, ZEPHYRHILLS, FL 33542-4843
(201) 838-9372
Mailing address
6631 FORT KING RD APT 407, ZEPHYRHILLS, FL 33542-4843
(201) 838-9372
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108329200
—
FL
Enumeration date
02/03/2022
Last updated
02/03/2022
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