Organization
SUNSHINE ADULT DAY PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA HOLMES (CEO)
(916) 980-0050
Entity
Organization
Contact information
Practice address
8309 W COCOPAH ST, TOLLESON, AZ 85353-8968
(916) 980-0050
Mailing address
8309 W COCOPAH ST, TOLLESON, AZ 85353-8968
(916) 980-0050
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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