Organization
SONSHINE COMPANION CARE, LLC
Active
Other names
Sonshine Elder Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACI L MIRON (OWNER)
(850) 346-0352
Entity
Organization
Contact information
Practice address
1010 N 12TH AVE STE 233, PENSACOLA, FL 32501-3380
(850) 346-0352
(850) 266-7007
Mailing address
1010 N 12TH AVE #233, PENSACOLA, FL 32501
(850) 346-0352
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
231.700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006638800
—
FL
Enumeration date
04/20/2012
Last updated
11/24/2015
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