Organization
SUNSHINERS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK R HART (OWNER OPERATOR)
(352) 528-4380
Entity
Organization
Contact information
Practice address
719 N MAIN ST, WILLISTON, FL 32696-1709
(352) 528-4380
(352) 528-0091
Mailing address
719 N MAIN ST, WILLISTON, FL 32696
(352) 528-4380
(352) 528-0091
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674272696
—
FL
Enumeration date
04/11/2007
Last updated
08/15/2008
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