Organization
SUNSHINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JIMMIE SIE BLAND MS, ATC (PRESIDENT)
(478) 463-5812
Entity
Organization
Contact information
Practice address
4694 W LOUISIANA AVE, SOPERTON, GA 30457-2224
(912) 529-5220
(877) 912-3006
Mailing address
PO BOX 411, MOUNT VERNON, GA 30445-0411
(478) 463-5812
(877) 912-3006
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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