Organization
SUN HEALTH SERVICES
Active
Other names
Sun Health Care Transitions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LA RUE (EXECUTIVE VICE PRESIDENT/CFO)
(623) 471-9551
Entity
Organization
Contact information
Practice address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 832-5563
(623) 832-4101
Mailing address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 471-9355
(623) 213-8523
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
05/20/2013
Last updated
12/10/2020
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