Organization
SUNSHINE BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENZIE THOMAS (OWNER)
(330) 904-9040
Entity
Organization
Contact information
Practice address
411 THOMAS CIR NE, MASSILLON, OH 44646-4976
(330) 904-9040
Mailing address
411 THOMAS CIR NE, MASSILLON, OH 44646-4976
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OH
Enumeration date
11/14/2022
Last updated
11/14/2022
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