Organization
SUNSHINE HOMES INC
Active
Other names
Park Place RCF PMI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A SMITH (ADMINISTRATOR)
(712) 243-1213
Entity
Organization
Contact information
Practice address
1307 SUNNYSIDE LN, ATLANTIC, IA 50022-2205
(712) 243-1213
(712) 243-4675
Mailing address
1307 SUNNYSIDE LN, ATLANTIC, IA 50022-2205
(712) 243-1213
(712) 243-4675
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
RPMI 655
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0763763
—
IA
Enumeration date
06/15/2007
Last updated
08/22/2020
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