Organization
SUNSHINE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA ERICKSON (BILLING AND CONTRACT SPECIALIST)
(413) 592-6142
Entity
Organization
Contact information
Practice address
588 SILVER ST STE 120, AGAWAM, MA 01001-2924
(413) 568-2941
Mailing address
75 LITWIN LN, CHICOPEE, MA 01020-4817
(413) 592-6142
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304411
—
MA
Enumeration date
06/17/2008
Last updated
12/13/2019
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