Organization
SUNSHINE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M E WILLIS (CEO)
(919) 535-4038
Entity
Organization
Contact information
Practice address
110 ROOSEVELT ST STE A, MOUNT GILEAD, NC 27306-9606
(919) 535-4038
Mailing address
110 ROOSEVELT ST STE A, MOUNT GILEAD, NC 27306-9606
(919) 535-4038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC5475
HOME HEALTH LICENSURE
NC
Enumeration date
04/28/2020
Last updated
06/04/2020
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