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Organization

SUNSHINE HAVEN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH P SHULL M.ED. (EXECUTIVE DIRECTOR)
(956) 350-8400
Entity
Organization

Contact information

Practice address
7105 W LAKESIDE BLVD, OLMITO, TX 78575-9767
(956) 350-8400
(956) 350-8089
Mailing address
PO BOX 4478, BROWNSVILLE, TX 78523-4478
(956) 350-8400
(956) 350-8089

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
25
TX
315D00000X
Inpatient Hospice
25
TX

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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