Organization
SUNFLOWER HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAVARIUS GASTON (CHIEF EXECUTIVE OFFICER)
(501) 613-8117
Entity
Organization
Contact information
Practice address
14804 N CAVE CREEK RD STE 104, PHOENIX, AZ 85032-4945
(501) 613-8117
Mailing address
137 APPLE TREE CIR, NORTH LITTLE ROCK, AR 72118-1156
(501) 613-8117
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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