Organization
SUNSHINE SOCIAL SERVICE, INC
Active
Other names
SunServe, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KETCHAM BS (EXECUTIVE DIRECTOR)
(954) 764-5150
Entity
Organization
Contact information
Practice address
2312 WILTON DR, 200, WILTON MANORS, FL 33305-1249
(954) 764-5150
(954) 764-5143
Mailing address
2312 WILTON DR, 200, WILTON MANORS, FL 33305-1249
(954) 764-5150
(954) 764-5143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
003155601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003155601
—
FL
Enumeration date
11/18/2013
Last updated
11/18/2013
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