Organization
SUNSHINE OUTPATIENT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JEAN EVANS OTR/L (OWNER)
(304) 222-2329
Entity
Organization
Contact information
Practice address
1769 ROBERT C BYRD DR, BECKLEY, WV 25801-8707
(304) 222-2329
Mailing address
1701 ROBERT C BYRD DR, BECKLEY, WV 25801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
01/24/2023
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