Organization
SUNSHINE BEHAVIORAL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANETT AGBAYANI (CO-OWNER)
(623) 565-1812
Entity
Organization
Contact information
Practice address
13614 N 89TH ST, SCOTTSDALE, AZ 85260-7653
(480) 572-1850
Mailing address
13614 N 89TH ST, SCOTTSDALE, AZ 85260-7653
(480) 572-1850
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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