Organization
SUNSHINE HOMES, INC
Active
Other names
Park Place RCF-PMI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A SMITH (ADMINISTRATOR)
(712) 243-1213
Entity
Organization
Contact information
Practice address
1307 SUNNYSIDE LN, ATLANTIC, IA 50022-2205
(712) 243-1213
(712) 243-4675
Mailing address
1307 SUNNYSIDE LN, ATLANTIC, IA 50022-2205
(712) 243-1213
(712) 243-4675
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
RPMI-655
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12-37792
—
IA
Enumeration date
12/12/2006
Last updated
08/22/2020
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