Organization
SUNSHINE VILLAGE, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDHAKAR VAMATHEVAN (CHIEF FINANCIAL OFFICER)
(413) 592-6142
Entity
Organization
Contact information
Practice address
65 SPRINGFIELD ST, THREE RIVERS, MA 01080-1227
(413) 289-2023
(413) 283-3589
Mailing address
75 LITWIN LN, CHICOPEE, MA 01020-4817
(413) 592-6142
(413) 598-0478
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317580
—
MA
Enumeration date
04/24/2007
Last updated
08/22/2020
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