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Organization

SUNSHINE TERRACE FOUNDATION, INC

Active
Parent organization
SUNSHINE TERRACE FOUNDATION, INC
Other names
Sunshine Home Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUNSHINE TERRACE FOUNDATION, INC
Authorized official
MR. DENNIS WILDMAN (ADMINISTRATOR)
(435) 716-8541
Entity
Organization

Contact information

Practice address
225 N 200 W, LOGAN, UT 84321
(435) 716-8541
(435) 716-8537
Mailing address
209 W 300 N, LOGAN, UT 84321
(435) 752-0411
(435) 716-8558

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
UT
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
467254
MEDICARE
UT
Enumeration date
04/02/2009
Last updated
10/14/2015
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