Organization
SONSHINE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEOTA FAYE DICKEN (OWNER)
(573) 785-0482
Entity
Organization
Contact information
Practice address
2056 AA HWY, POPLAR BLUFF, MO 63901
(573) 785-0482
(573) 776-7278
Mailing address
2056 AA HWY, POPLAR BLUFF, MO 63901
(573) 785-0482
(573) 776-7278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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