Organization
SUNSHINE CARE SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENEITA KELLY (OWNER/DIRECTOR)
(321) 594-9656
Entity
Organization
Contact information
Practice address
350 NOTRE DAME DR, ALTAMONTE SPRINGS, FL 32714-4119
(321) 594-9656
Mailing address
PO BOX 580161, ORLANDO, FL 32858-0161
(321) 594-9656
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100409800
—
FL
Enumeration date
08/10/2020
Last updated
02/23/2022
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